PROCARE FOOT AND ANKLE, LLC (NPI# 1609398734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609398734 |
| Entity Type | Organization |
| Organization Name | PROCARE FOOT AND ANKLE, LLC |
| Practice Address |
300 Prime Point, Suite 100 Peachtree City GA 30269-6851 |
| Mailing Address |
950 Eagles Landing Pkwy # 592 Stockbridge GA 30281-7343 |
| Practice Telephone | 6784894210 |
| Practice Fax Number | 6784894088 |
| Mailing Telephone | 6784894210 |
| Mailing Fax Number | 6784894088 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | EBONY B CONNER (CEO) |
| Authorized Official Telephone | 6784894210 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 950 Eagles Landing Pkwy # 592, Stockbridge, GA 302817343 | 6788846117 | 6788943001 |
| 950 Eagles Landing Pkwy # 592, Stockbridge, GA 302817343 | 8502940412 |
| Street Address |
300 PRIME POINT, SUITE 100 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-6851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245531821 | Ebony B Conner | Podiatrist | 300 Prime Point, Suite 100, Peachtree City, GA 30269-6851 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256794 | Whitney Mcconnell LLC | Clinic/Center | 2600 Wildwood Dr, Brunswick, GA 31520-4249 | 2020-02-11 |
| 1801304662 | Hc Podiatry, LLC | Clinic/Center | 1870 The Exchange Se Ste 200, Atlanta, GA 30339-2021 | 2018-01-15 |
| 1508384892 | Eldridge Podiatry and Diabetes Center, LLC | Clinic/Center | 910 Dannon Vw Sw Ste 2201, Atlanta, GA 30331-2156 | 2017-09-06 |
| 1306221106 | Courtney Glenn Dpm LLC | Clinic/Center | 1574 Friendship Rd # 200, Hoschton, GA 30548-4146 | 2015-07-22 |
| 1659516292 | Southside Footcare P.C. | Clinic/Center | 13015 Abercorn St Ste D9, Savannah, GA 31419-1975 | 2008-12-11 |
| 1669626735 | Podiatry Associates of Georgia P C | Clinic/Center | 5200 Greystone Summit Dr, Suite #1010, Columbus, GA 31909-7541 | 2008-11-15 |
| 1588858922 | Webb's Foot and Wound Care Clinic, LLC | Clinic/Center | 2907 Watson Blvd Ste I, #184, Warner Robins, GA 31093-8513 | 2007-08-29 |
| 1154536126 | South Fulton Family Foot Care, Inc. | Clinic/Center | 67 W Campbellton St, Fairburn, GA 30213-1338 | 2007-05-13 |
| 1386869386 | Midtown Surgical Center, LLC | Clinic/Center | 906 Abercorn St, Savannah, GA 31401-5912 | 2007-04-16 |
| 1376668020 | Family Podiatry Center PC | Clinic/Center | 1804 Seminole Drive, Vidalia, GA 30474 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on PROCARE FOOT AND ANKLE, LLC.
| 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.