ATLANTA PREMIER FOOT AND ANKLE SURGERY NPI 1689149601

NPI Information

  • NPI: 1689149601
  • Provider Name: ATLANTA PREMIER FOOT AND ANKLE SURGERY
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2167334
  • Address: 100 STONEFOREST DR STE 120
    WOODSTOCK, GA
    ZIP 30189
  • Phone: (404) 245-4969

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NPI Details

ATLANTA PREMIER FOOT AND ANKLE SURGERY is an ambulatory surgical clinic center in Woodstock, GA. ATLANTA PREMIER FOOT AND ANKLE SURGERY NPI is 1689149601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 STONEFOREST DR STE 120
WOODSTOCK, GA
ZIP 30189-881
Phone: (404) 245-4969

The provider's authorized official is Nrup Tolat .
The authorized official title is Podiatrist and has the following contact phone number (404) 245-4969.

The CLIA number assigned to this NPI record is 11D2167334 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 9/23/2020.

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 License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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