ACTIVE ANKLE & FOOT CARE SPECIALIST (NPI# 1437311818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437311818 |
| Entity Type | Organization |
| Organization Name | ACTIVE ANKLE & FOOT CARE SPECIALIST |
| Other Organization Name | INGIE EL-KHASHAB |
| Practice Address |
1434 Scott Blvd Ste 3 Scott Blvd, Suite 3 Decatur GA 30030-1424 |
| Mailing Address |
Po Box 71 Avondale Estate GA 30002 |
| Practice Telephone | 4043737004 |
| Mailing Telephone | 4043737004 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | INGIE EL- KHASHAB (OWNER) |
| Authorized Official Telephone | 4043737004 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | POD000986 | GA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Ingie El-Khashab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831575034 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 6335 Hospital Parkway, Suite 305, Johns Creek, GA 30097-5712 | 2015-08-11 |
| Street Address |
1434 SCOTT BLVD STE 3 SCOTT BLVD, SUITE 3 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1424 |
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|---|---|---|---|---|
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| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
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| 1558550384 | Reunited Counseling & Training LLC | Preferred Provider Organization | 143 New St, Decatur, GA 30030-4131 | 2007-10-17 |
| 1740547033 | The Emory Clinic | Preferred Provider Organization | 101 W Ponce De Leon Ave, Decatur, GA 30030-2542 | 2012-04-12 |
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| 1831622976 | Jencare Neiborhood Medical Center | Preferred Provider Organization | 2209 Brandon Ln Sw, Conyers, GA 30094-5084 | 2017-04-05 |
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| 1659818482 | Three In One Medical | Preferred Provider Organization | 5222 Addison Trl Sw, Lilburn, GA 30047-6670 | 2017-01-31 |
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1003267352 | New Horizon | Preferred Provider Organization | 6200 Bradley Park Dr, Columbus, GA 31904-3078 | 2016-06-28 |
| 1154796563 | Michelle Woodard M.d LLC | Preferred Provider Organization | 2410 Hog Mountain Rd Ste 303, Watkinsville, GA 30677-4850 | 2015-12-10 |
| 1730553322 | Amanda Kort, LLC | Preferred Provider Organization | 37 West Fairmont Avenue, Savannah, GA 31405 | 2015-11-19 |
| 1831575034 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 6335 Hospital Parkway, Suite 305, Johns Creek, GA 30097-5712 | 2015-08-11 |
| 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.