Active NPI
Dane A Ulett, DPM
- Podiatrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD000960
- Practice address
- 2045 Peachtree Rd NE Ste 810
Atlanta, GA 30309-1412 - Phone
- (404) 446-1890
- Fax
- (404) 446-1898
- NPI assigned
- Apr 6, 2006
- Last updated
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD000960 | GA | Primary |
Addresses
Primary practice location
2045 Peachtree Rd NE Ste 810
Atlanta, GA 30309-1412
Mailing address
900 Circle 75 Pkwy SE Ste 900
Atlanta, GA 30339-3084
Phone (678) 426-2171
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2045 Peachtree Rd NE
Suite 810
Atlanta, GA 30309-1412
Phone (404) 446-1890
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 74 |
| Removal of nail tissue | 373 |
| Removal or shaving of skin growth | 74 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD000960 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group, L.L.C. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 3060
Atlanta, GA 30309
Phone (404) 446-1890
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171
771 Old Norcross Rd
Ste 355
Lawrenceville, GA 30046
Phone (770) 963-5161
3415 Holcomb Bridge Rd
Norcross, GA 30092
Phone (770) 449-1122
1198 Buckhead Xing
Ste D
Woodstock, GA 30189
Phone (770) 928-9263
Interoperability endpoints
- dane.ulett.1@4399.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
-
- Podiatrist
- Roswell, GA
- NPI 1508846718
-
- Foot & Ankle Surgery Podiatrist
- Covington, GA
- NPI 1942036314
Hospital & facility affiliations 1
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": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1992767594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE STE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393084",
"telephone_number": "678-426-2171",
"fax_number": "404-446-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PEACHTREE RD NE STE 810",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091412",
"telephone_number": "404-446-1890",
"fax_number": "404-446-1898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULETT",
"first_name": "DANE",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD000960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.