Active NPI
Arnita F Avery, DPM
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000632
- Practice address
- 5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387 - Phone
- (404) 255-4900
- Fax
- (404) 255-4899
- NPI assigned
- Sep 1, 2006
- Last updated
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 000632 | GA | |
| Podiatrist | 213E00000X | 000632 | GA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 000632 | GA | |
| Radiology Podiatrist | 213ER0200X | 000632 | GA | |
| Sports Medicine Podiatrist | 213ES0000X | 000632 | GA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000632 | GA | Primary |
Addresses
Primary practice location
5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387
Mailing address
5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387
Phone (404) 255-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP6860 | Other | GA | MEDICARE GROUP NUMBER |
Other names 1
- Arnita Florence Avery-Kelly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000632 | GA | MD | Radiology Podiatrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Podiatric Medical & Surgical Spa
- Primary Podiatric Medicine Podiatrist
- Atlanta, GA
- NPI 1255414520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1801998943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 GLENRIDGE DR",
"address_2": "BUILDING 2, SUITE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285387",
"telephone_number": "404-255-4900",
"fax_number": "404-255-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 GLENRIDGE DR",
"address_2": "BUILDING 2, SUITE 110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285387",
"telephone_number": "404-255-4900",
"fax_number": "404-255-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "ARNITA",
"middle_name": "F",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "000632",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "000632",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "GA",
"license": "000632",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "GA",
"license": "000632",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "GA",
"license": "000632",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "000632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "GRP6860",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARNITA",
"last_name": "AVERY-KELLY",
"middle_name": "FLORENCE",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.