A. LOUIS JIMENEZ, DPM, PC (NPI# 1407054810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407054810 |
| Entity Type | Organization |
| Organization Name | A. LOUIS JIMENEZ, DPM, PC |
| Other Organization Name | PRIMERA FOOT & ANKLE CENTERS |
| Practice Address |
2220 Wisteria Dr Suite 202 Snellville GA 30078-4604 |
| Mailing Address |
Po Box 527 Snellville GA 30078-0527 |
| Practice Telephone | 7709790900 |
| Practice Fax Number | 7709792852 |
| Mailing Telephone | 7709790900 |
| Mailing Fax Number | 7709792852 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | DR. DORIAN JIMENEZ (CEO) |
| Authorized Official Telephone | 7709790900 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000440 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000157957A | 05 | |
| GA | RAILROAD MEDICARE | CM4891 | 01 |
| Other Name | Type Code |
|---|---|
| Primera Foot & Ankle Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346568631 | A. Louis Jimenez, Dpm, PC | Podiatrist | 3840 Peachtree Industrial Blvd, Suite 200, Duluth, GA 30096-5031 | 2010-05-11 |
| 1881912178 | A. Louis Jimenez, Dpm, PC | Podiatrist | 115 Towne Center Pkwy, Hoschton, GA 30548-2213 | 2010-05-11 |
| Street Address |
2220 WISTERIA DR SUITE 202 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487678751 | Earl Stephenson Jr. | Plastic Surgery | 2220 Wisteria Dr, Suite 209, Snellville, GA 30078-4606 | 2006-07-27 |
| 1326473307 | Nanston Vision, LLC | Optometrist | 2220 Wisteria Dr, Ste. 101, Snellville, GA 30078-4606 | 2013-09-09 |
| 1891942678 | Kisha I. Steele | Dentist | 2220 Wisteria Dr, Suite 300, Snellville, GA 30078-2656 | 2008-08-22 |
| 1750506978 | Scott Clifford Mcinturff | Physical Therapist | 2220 Wisteria Dr, Suite 204, Snellville, GA 30078-2656 | 2007-04-14 |
| 1225174592 | Shannon M. Parris | Dentist | 2220 Wisteria Dr, Suite # 300, Snellville, GA 30078-4606 | 2007-01-30 |
| 1134280506 | Lindsey Ann Law | Specialist/Technologist | 2220 Wisteria Dr, Snellville, GA 30078-2656 | 2006-12-12 |
| 1871679092 | Timothy Steven Helton | Dentist | 2220 Wisteria Dr, Suite 300, Snellville, GA 30078-2656 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012929 | Angel Louis Jimenez | Podiatrist | 2175 North Rd, Snellville, GA 30078-2630 | 2005-06-08 |
| 1265629869 | Foot, Ankle and Leg Specialists of Georgia | Podiatrist | 1800 Tree Ln, Suite 320, Snellville, GA 30078-2016 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on A. LOUIS JIMENEZ, DPM, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.