Individual provider Active NPI

Dane A Ulett, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1992767594
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000960 Issued in GA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000103 GA Practitioner - Podiatry 1759394430 Reassigns benefits to 2 organizations

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
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

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

ProcedureNumber of procedures
Removal of tissue74
Removal of nail tissue373
Removal or shaving of skin growth74
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000960GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Sep 3, 2019 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Jul 1, 2006 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Sep 3, 2019 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Jul 1, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.