ACTIVE ANKLE & FOOT CARE SPECIALIST (NPI# 1831575034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831575034 |
| Entity Type | Organization |
| Organization Name | ACTIVE ANKLE & FOOT CARE SPECIALIST |
| Practice Address |
6335 Hospital Parkway Suite 305 Johns Creek GA 30097-5712 |
| Mailing Address |
Po Box 71 Avondale Estates GA 30002-0071 |
| Practice Telephone | 4043737004 |
| Practice Fax Number | 4043737008 |
| Mailing Telephone | 4043737004 |
| Mailing Fax Number | 4043737008 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | INGIE M EL-KHASHAB (OWNER/PHYSICIAN) |
| 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 | GA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437311818 | Active Ankle & Foot Care Specialist | Preferred Provider Organization | 1434 Scott Blvd Ste 3, Scott Blvd, Suite 3, Decatur, GA 30030-1424 | 2008-06-27 |
| Street Address |
6335 HOSPITAL PARKWAY SUITE 305 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-5712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548413206 | Oak Tree Family Medicine, PC | Preferred Provider Organization | 6335 Hospital Pkwy, Ste 101, Johns Creek, GA 30097-1550 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502925 | Global Administrative Solutions, Inc | Preferred Provider Organization | 665 Molly Ln Ste 150, Woodstock, GA 30189-3754 | 2020-09-15 |
| 1710597554 | Healthcare Placement Group, LLC | Preferred Provider Organization | 6751 Macon Rd Ste 6, Columbus, GA 31907-9295 | 2020-08-06 |
| 1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
| 1831622976 | Jencare Neiborhood Medical Center | Preferred Provider Organization | 2209 Brandon Ln Sw, Conyers, GA 30094-5084 | 2017-04-05 |
| 1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.