ASSOCIATED FOOT & ANKLE SPECIALISTS, P.C. (NPI# 1932393253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932393253 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED FOOT & ANKLE SPECIALISTS, P.C. |
| Practice Address |
1567 Milstead Rd Ne Suite A Conyers GA 30012-3835 |
| Practice Telephone | 7704832291 |
| Practice Fax Number | 7704832927 |
| Mailing Telephone | 7704832291 |
| Mailing Fax Number | 7704832927 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. GERALD WAYNE NEWMAN JR. (PRESIDENT) |
| Authorized Official Telephone | 7704832291 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000702 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | 480016118 | 01 |
| HUMANA | 151680414523 | 01 | |
| GA | 300030892A | 05 |
| Street Address |
1567 MILSTEAD RD NE SUITE A |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885910 | Gerald Wayne Newman Jr. | Podiatrist | 1567 Milstead Rd Ne, Suite A, Conyers, GA 30012-3835 | 2005-07-19 |
| 1376569459 | New Beginnings Comprehensive Women's Healthcare, PC | Obstetrics & Gynecology | 1567 Milstead Rd Ne, Suite B, Conyers, GA 30012-3835 | 2006-07-14 |
| 1801843222 | Marcia Watson | Nurse Practitioner | 1567 Milstead Rd Ne, Suite B, Conyers, GA 30012-3835 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649631037 | Foot and Ankle Institute of Georgia | Podiatrist | 1815 Highway 138 Se # Sr, Suite 600, Conyers, GA 30013-2079 | 2016-03-11 |
| 1356323778 | James Edwin Williams Jr. | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2005-11-20 |
| 1700885910 | Gerald Wayne Newman Jr. | Podiatrist | 1567 Milstead Rd Ne, Suite A, Conyers, GA 30012-3835 | 2005-07-19 |
| 1447254131 | Ketan B Patel | Podiatrist | 1720 Honey Creek Commons, Ste B, Conyers, GA 30013-5826 | 2005-06-09 |
| 1043773914 | Foot and Ankle Reconstruction Center of Georgia LLC | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2019-04-09 |
| 1285186452 | Shadae Mcmillan | Podiatrist | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2016-11-03 |
| 1164812202 | Alvin Jeffrey Cowans II | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2015-01-28 |
| 1760802268 | Darrice Collins | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094 | 2014-04-23 |
| 1639478407 | Adrianne J Ross | Podiatrist | 1815 Highway 138 Se, Suite 600, Conyers, GA 30013-2079 | 2011-03-19 |
| 1063697951 | Ankle and Foot Specialists of Rockdale | Podiatrist | 1025 E Freeway Dr Se, Conyers, GA 30094-5965 | 2008-01-09 |
| Find all providers in CONYERS | ||||
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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.