PROVIDENCE FOOT & ANKLE CENTERS, PC INC (NPI# 1437417722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437417722 |
Entity Type | Organization |
Organization Name | PROVIDENCE FOOT & ANKLE CENTERS, PC INC |
Practice Address |
4200 Northside Pkwy Nw Building 8 Atlanta GA 30327-3054 |
Mailing Address |
3886 Princeton Lakes Way Sw Suite 140a Atlanta GA 30331-5511 |
Practice Telephone | 7707454224 |
Practice Fax Number | 7707454228 |
Mailing Telephone | 7707454224 |
Mailing Fax Number | 7707454228 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |
Authorized Official Name | DR. ADRIENNE ATKINSON-SNEED (CEO) |
Authorized Official Telephone | 2157407000 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ER0200X |
Podiatrist Specialization: Radiology |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE GEORGIA GROUP PTAN | 511G700902 | 01 |
GA | RR MEDICARE GEORGIA GROUP PTAN | DQ9092 | 01 |
Street Address |
4200 NORTHSIDE PKWY NW BUILDING 8 |
City | ATLANTA |
State | GA |
Zip Code | 30327-3054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740262328 | Evalin Rhodes Hanshew | Psychologist | 4200 Northside Pkwy Nw, Building Four, Suite 100, Atlanta, GA 30327-3054 | 2005-11-18 |
1811454317 | Savannah Kemp | Nurse Practitioner | 4200 Northside Pkwy Nw, Atlanta, GA 30327-3007 | 2019-02-21 |
1629429170 | Melissa Freas | Counselor | 4200 Northside Pkwy Nw, Building 4, Suite 100, Atlanta, GA 30327-3007 | 2016-06-27 |
1215393814 | Adam Young | Social Worker | 4200 Northside Pkwy Nw, Building One, Suite 200, Atlanta, GA 30327-3007 | 2016-01-12 |
1013320019 | Katharine Mcnally Ferguson | Counselor | 4200 Northside Pkwy Nw, Building 6, Atlanta, GA 30327-3007 | 2014-06-06 |
1003056698 | Intentional Hearts, Inc. | Clinic/Center | 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327-3054 | 2009-02-23 |
1881735231 | Richmont Graduate University | Counselor | 4200 Northside Pkwy Nw, Building Four, Suite 100, Atlanta, GA 30327-3054 | 2007-02-09 |
1306924014 | Jacqueline N Hill | Psychologist | 4200 Northside Pkwy Nw, Bldg. 6, Atlanta, GA 30327-3054 | 2006-11-01 |
1265526925 | John H Hartley Jr. | Surgery | 4200 Northside Pkwy Nw, Building 8, Atlanta, GA 30327-3054 | 2006-10-03 |
1265411524 | Lyndsay Nicole Langston | Dentist | 4200 Northside Pkwy Nw, Building 5, Atlanta, GA 30327-3007 | 2006-01-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
Find all providers in zip 30327 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
1013322742 | A. Louis Jimenez D.p.m. PC | Podiatrist | 1150 Hammond Dr Bldg E, Suite 600, Atlanta, GA 30328-5334 | 2014-06-20 |
1104183086 | Krum Georgiev | Podiatrist | 3193 Howell Mill Rd Nw Ste 326, Atlanta, GA 30327-2100 | 2012-04-18 |
1255642609 | Erinn Nicole Ponder | Podiatrist | 275 Carpenter Dr, # 106, Atlanta, GA 30328-4928 | 2010-06-30 |
1538492962 | Bednarz Foot and Ankle Pllc | Podiatrist | 107 Peachtree Hills Ave Ne, Atlanta, GA 30305-4303 | 2009-09-17 |
1427229475 | Affiliated Foot and Ankle, P.C. | Podiatrist | 3025 Maple Dr Ne Ste 2, Atlanta, GA 30305-2618 | 2008-03-18 |
1467644880 | Focus Foot & Ankle Centers, LLC | Podiatrist | 5491 Roswell Rd Ne, Suite B, Atlanta, GA 30342-1911 | 2007-08-10 |
1831179886 | Annette D. Filiatrault | Podiatrist | 3025 Maple Dr Ne, Suite 2, Atlanta, GA 30305-2618 | 2006-01-17 |
1174143770 | Affiliated Foot and Ankle, P.C. | Podiatrist | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2020-04-23 |
Find all providers in ATLANTA |
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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.