Individual provider Active NPI

Gregory Alvarez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, GA
National Provider Identifier
1861496754
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000621 Issued in GA
Practice address
265 N Jeff Davis Dr
Fayetteville, GA 30214-1625
Phone
(770) 487-6716
Fax
(770) 487-1232
NPI assigned
Jun 8, 2005
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000621 GA Primary

Addresses

Primary practice location

265 N Jeff Davis Dr
Fayetteville, GA 30214-1625

Mailing address

1975 Highway 54 W.
Ste 205
Peachtree City, GA 30269-4794
Phone (678) 561-9000

Other identifiers 2

IdentifierTypeStateIssuer
000451756AMedicaidGA
202I489464OtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000568 GA Practitioner - Podiatry 1153324397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

1975 Hwy 54 W
Peachtree City, GA 30269-4794

2326 Hwy 34 E
Suite 200
Newnan, GA 30265-1328
Phone (770) 251-6100

401 Dividend Dr
Suite K
Peachtree City, GA 30269-1939
Phone (678) 506-1236

7130 Mount Zion Blvd
Suite 13
Jonesboro, GA 30236-2566
Phone (770) 478-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of nail tissue646
Removal or shaving of skin growth238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000621GAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Joseph D Giovinco DPM PC Foot & Ankle Surgery PastSince Jun 1, 2006 Accepting new patients
Center for Reconstructive Surgery PastSince Oct 1, 2006 Accepting new patients
Ankle and Foot Center of Georgia,LLC Past Accepting new patients
Complete Physical Therapy Centers of Georgia, LLC PastSince May 1, 2017 Accepting new patients

Locations

644 N Chase St
Ste 100
Athens, GA 30601
Phone (770) 487-6716

550 Peachtree St NE
Ste 1615
Atlanta, GA 30308
Phone (404) 577-8180

3425 Buford Dr
Ste 350
Buford, GA 30519
Phone (470) 589-1617

147 Reinhardt College Pkwy
Ste 10
Canton, GA 30114
Phone (470) 274-7763

5335 Old National Hwy
College Park, GA 30349
Phone (404) 768-3668

2675 N Decatur Rd
Ste 607
Decatur, GA 30033
Phone (404) 501-7640

265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600

1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095

1075 Lafayette Pkwy
Ste 200
Lagrange, GA 30241
Phone (678) 347-2123

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

2520 Windy Hill Rd SE
Ste 205
Marietta, GA 30067
Phone (404) 228-9892

2326 Highway 34 E
Ste 200
Newnan, GA 30265
Phone (678) 561-9000

1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1861496754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W.",
            "address_2": "STE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-561-9000",
            "fax_number": "770-487-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141625",
            "telephone_number": "770-487-6716",
            "fax_number": "770-487-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000451756A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I489464",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.