Organization Active NPI

Ankle and Foot Centers Inc

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1932274008
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000926 Issued in GA
Legal business name
ANKLE AND FOOT CENTERS INC
Practice address
2790 Sandy Plains Rd
Suite 300
Marietta, GA 30066-4378
Phone
(770) 977-3668
Fax
(770) 578-0033
NPI assigned
Nov 22, 2006
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Mathew M. John, DPMNPI 1497740229
Title
Owner
Phone
(770) 977-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000926 GA Primary

Addresses

Primary practice location

2790 Sandy Plains Rd
Suite 300
Marietta, GA 30066-4378

Mailing address

2790 Sandy Plains Rd
Suite 300
Marietta, GA 30066-4378
Phone (770) 977-3668

Other names 1

  • Ankle & Foot Centers, PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040920001001 GA Part B Supplier - Clinic/Group Practice 5597733311 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA
O20100930091381 GA DME Supplier - Physician - Podiatry 5597733311 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

6667 Vernon Woods Dr
Ste B24
Sandy Springs, GA 30328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1932274008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664378",
            "telephone_number": "770-977-3668",
            "fax_number": "770-578-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 SANDY PLAINS RD",
            "address_2": "SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664378",
            "telephone_number": "770-977-3668",
            "fax_number": "770-578-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-977-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Centers, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.