Providence Foot & Ankle Centers, Pc Inc - Podiatrist in Atlanta, GA

Providence Foot & Ankle Centers, Pc Inc is a Podiatrist - Foot & Ankle Surgery based in Atlanta, Georgia. Providence Foot & Ankle Centers, Pc Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is 4200 Northside Pkwy Nw, Building 8, Atlanta, Georgia. It can be reached at their office (for appointments etc.) via phone at (770) 745-4224.

NPI number for Providence Foot & Ankle Centers, Pc Inc is 1437417722 and their current mailing address is 3886 Princeton Lakes Way Sw, Suite 140a, Atlanta, Georgia. Providence Foot & Ankle Centers, Pc Inc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1437417722.

Contact Information

Providence Foot & Ankle Centers, Pc Inc
4200 Northside Pkwy Nw, Building 8,
Atlanta, GA 30327-3054
(770) 745-4224
(770) 745-4228



Healthcare Provider's Profile

Full NameProvidence Foot & Ankle Centers, Pc Inc
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location4200 Northside Pkwy Nw, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437417722
  • Provider Enumeration Date: 04/25/2012
  • Last Update Date: 04/25/2012

Medical Identifiers

Medical identifiers for Providence Foot & Ankle Centers, Pc Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437417722NPI-NPPES
DQ9092OtherGARR MEDICARE GEORGIA GROUP PTAN
511G700902OtherGAMEDICARE GEORGIA GROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine (* (Not Available))Secondary
213ER0200XPodiatrist - Radiology (* (Not Available))Secondary
213ES0000XPodiatrist - Sports Medicine (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary
213ES0131XPodiatrist - Foot Surgery (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Foot & Ankle Centers, Pc Inc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Foot & Ankle Centers, Pc Inc
3886 Princeton Lakes Way Sw, Suite 140a,
Atlanta, GA 30331-5511

Ph: (770) 745-4224
Providence Foot & Ankle Centers, Pc Inc
4200 Northside Pkwy Nw, Building 8,
Atlanta, GA 30327-3054

Ph: (770) 745-4224

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