FOOT AND ANKLE WELLNESS CENTER (NPI# 1366637399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366637399 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE WELLNESS CENTER |
| Practice Address |
416 Pirkle Ferry Rd Ste J500 Cumming GA 30040-9221 |
| Practice Telephone | 6785138777 |
| Practice Fax Number | 6785138999 |
| Mailing Telephone | 6785138777 |
| Mailing Fax Number | 6785138999 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | KEITH MILLER (OWNER) |
| Authorized Official Telephone | 6785138777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | GA000916 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | P00290978 | 01 |
| GA | N327176 | 05 | |
| GA | 10059160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580883 | Foot and Ankle Wellness Center | Podiatrist | 1160 Varnum St Ne Ste 200, Washington, DC 20017-2106 | 2018-12-18 |
| 1467577981 | Foot and Ankle Wellness Center | Durable Medical Equipment & Medical Supplies | 3540 Seven Bridges Dr, Suite 290, Woodridge, IL 60517-1221 | 2007-03-21 |
| Street Address |
416 PIRKLE FERRY RD STE J500 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942354485 | Keith A Miller | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942354485 | Keith A Miller | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-01-22 |
| 1356442537 | Village Podiatry Group, LLC. | Podiatrist | 1505 Northside Blvd., Suite 2600, Cumming, GA 30041-6012 | 2006-09-26 |
| 1588620009 | Michael C. Mcglamry | Podiatrist | 102 Mary Alice Park Drive, Suite 502, Cumming, GA 30040-2697 | 2006-04-24 |
| 1801859053 | Mark M Snyder | Podiatrist | 960 Sanders Rd., Ste. 100, Cumming, GA 30041-5962 | 2006-04-10 |
| 1639427487 | Village Podiatry Group, LLC. | Podiatrist | 960 Sanders Rd, Ste. 100, Cumming, GA 30041-5962 | 2012-08-28 |
| 1851609069 | Village Podiatry Group, LLC | Podiatrist | 960 Sanders Rd, Ste.100, Cumming, GA 30041-5962 | 2010-09-22 |
| 1164497665 | Stephanie C Merritt | Podiatrist | 1400 Northside Forsyth Dr, Suite 220, Cumming, GA 30041-7668 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| 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.