FOOT AND LEG CLINIC, PA (NPI# 1740306059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740306059 |
| Entity Type | Organization |
| Organization Name | FOOT AND LEG CLINIC, PA |
| Other Organization Name | AMBULATORY FOOT AND LEG SURGICAL CENTER |
| Practice Address |
1650 Mulkey Rd Austell GA 30106-1186 |
| Mailing Address |
1652 Mulkey Rd Austell GA 30106 |
| Practice Telephone | 7705440444 |
| Practice Fax Number | 7708748950 |
| Mailing Telephone | 7705440444 |
| Mailing Fax Number | 7708748950 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | MS. JANA S. TAYLOR (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7705440444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0042221A | 05 |
| Other Name | Type Code |
|---|---|
| AMBULATORY FOOT AND LEG SURGICAL CENTER | Doing Business As Name - Organization |
| Street Address |
1650 MULKEY RD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139914 | Alan H Shaw | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2005-10-25 |
| 1265818975 | Jose Manuel Gonzalez | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2015-08-04 |
| 1750793865 | Luis Garcia | Nurse Anesthetist, Certified Registered | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2014-05-22 |
| 1609184829 | Village Podiatry Group, LLC. | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2010-09-22 |
| 1003950114 | Foot and Leg Clinic, PC | Podiatrist | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124592746 | Denmark Surgical Associates | Clinic/Center | 4271 Weavers White Ln, Austell, GA 30106-8256 | 2019-01-16 |
| 1467833160 | Austell Surgery Center, LLC | Clinic/Center | 1610 Mulkey Rd, Austell, GA 30106-1186 | 2015-06-18 |
| 1376716316 | Cpm Sugery Center, P.C. | Clinic/Center | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 | 2008-04-10 |
| 1366444929 | East West Surgery Center Lp | Clinic/Center | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2005-08-12 |
| 1053632372 | Orthoatlanta Surgery Center of Austell, LLC | Clinic/Center | 3672 Marathon Circle, Suite 120, Austell, GA 30106-6821 | 2010-06-21 |
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| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
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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.