Individual provider Active NPI

Michael K Bednarz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodstock, GA
National Provider Identifier
1942290705
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001030 Issued in GA
Practice address
120 N Medical Pkwy
BLDG 100, Suite 102
Woodstock, GA 30189-7062
Phone
(770) 926-4641
Fax
(770) 926-1692
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 POD001030 GA Primary

Addresses

Primary practice location

120 N Medical Pkwy
BLDG 100, Suite 102
Woodstock, GA 30189-7062

Mailing address

1555 Doctors Dr
Ste. 106
Lagrange, GA 30240-4132
Phone (706) 845-9370

Other identifiers 2

IdentifierTypeStateIssuer
908119435AMedicaidGA
1756326MedicaidLA

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
I20050823000266 GA Practitioner - Podiatry 3971534678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
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

Practice addresses (Care Compare)

1975 Hwy 54 W
Peachtree City, GA 30269-4794

980 Woodstock Pkwy
Suite 100
Woodstock, GA 30188-4871
Phone (770) 926-4641

Hospital & facility affiliations

  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

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
Melanoma (skin cancer) excision1-10
Removal of tissue62
Removal of skin lesions94
Removal of nail tissue123
Removal or shaving of skin growth47
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001030GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Feb 19, 2012 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Feb 19, 2012 Accepting new patients
Village Podiatry Group, L.L.C. PastSince Jun 1, 2003 Accepting new patients
Ankle and Foot Center of Georgia,LLC Past Accepting new patients
Village Podiatry Group LLC Foot & Ankle Surgery Past Accepting new patients

Locations

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

980 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (770) 926-4641

120 N Medical Pkwy
Bldg 100
Woodstock, GA 30189
Phone (678) 445-0976

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1942290705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE. 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MEDICAL PKWY",
            "address_2": "BLDG 100, SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897062",
            "telephone_number": "770-926-4641",
            "fax_number": "770-926-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARZ",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908119435A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1756326",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.