PROVIDENCE FOOT & ANKLE CENTERS PC INC NPI 1437417722

NPI Information

NPI: 1437417722
Provider Name: PROVIDENCE FOOT & ANKLE CENTERS, PC INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4200 NORTHSIDE PKWY NW
BUILDING 8
ATLANTA, GA
ZIP 30327
Phone: (770) 745-4224
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PROVIDENCE FOOT & ANKLE CENTERS, PC INC is a foot and ankle surgery podiatrist in Atlanta, GA. PROVIDENCE FOOT & ANKLE CENTERS, PC INC NPI is 1437417722. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4200 NORTHSIDE PKWY NW
BUILDING 8
ATLANTA, GA
ZIP 30327-054
Phone: (770) 745-4224
Fax: (770) 745-4228

The provider's authorized official is Adrienne Atkinson-sneed .
The authorized official title is Ceo and has the following contact phone number (215) 740-7000.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	213E00000X	Podiatrist		No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	No
3	213ER0200X	Podiatrist	Radiology	No
4	213ES0000X	Podiatrist	Sports Medicine	No
5	213ES0131X	Podiatrist	Foot Surgery	No
6	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DQ9092	OTHER	GEORGIA	RR MEDICARE GEORGIA GROUP PTAN
2	511G700902	OTHER	GEORGIA	MEDICARE GEORGIA GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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