Organization Active NPI

The Ankle and Foot Clinic of Northern Virginia, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Gainesville, VA
National Provider Identifier
1952909228
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
THE ANKLE AND FOOT CLINIC OF NORTHERN VIRGINIA, PLLC
Practice address
7521 Virginia Oaks Dr Ste 104
Gainesville, VA 20155-3831
Phone
(703) 743-5457
Fax
(703) 454-5778
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Colby Mussett, DPMNPI 1316476161
Title
Owner
Phone
(703) 743-5457

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 Primary

Addresses

Primary practice location

7521 Virginia Oaks Dr Ste 104
Gainesville, VA 20155-3831

Mailing address

7521 Virginia Oaks Dr Ste 104
Gainesville, VA 20155-3831
Phone (703) 743-5457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201106000392 VA Part B Supplier - Clinic/Group Practice 9335559137 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, VA
O20210924000660 VA DME Supplier - Physician - Podiatry 9335559137 Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Locations

7521 Virginia Oaks Dr
Ste 104
Gainesville, VA 20155
Phone (703) 743-5457

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1952909228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 VIRGINIA OAKS DR STE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553831",
            "telephone_number": "703-743-5457",
            "fax_number": "703-454-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 VIRGINIA OAKS DR STE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553831",
            "telephone_number": "703-743-5457",
            "fax_number": "703-454-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANKLE AND FOOT CLINIC OF NORTHERN VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MUSSETT",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-743-5457",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.