| Ankle And Foot Centers Of Georgia, Llc | |
|
1975 Highway 54 W Ste 205, Ste 205, Peachtree City, GA 30269-4794 | |
| (678) 561-9000 | |
| (678) 854-1977 |
| Full Name | Ankle And Foot Centers Of Georgia, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1975 Highway 54 W Ste 205, Peachtree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992003479 | NPI | - | NPPES |
| Provider Name | Stanley R Kalish |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811994379 PECOS PAC ID: 3779572763 Enrollment ID: I20040507000897 |
| Provider Name | Bhavin V Mehta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487724324 PECOS PAC ID: 2163412644 Enrollment ID: I20040517000259 |
| Provider Name | Robert B Weinstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346244886 PECOS PAC ID: 8921071895 Enrollment ID: I20040818000619 |
| Provider Name | Richard P Hollstrom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710939145 PECOS PAC ID: 6507839453 Enrollment ID: I20040823000327 |
| Provider Name | Craig Sun |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316937451 PECOS PAC ID: 3577531995 Enrollment ID: I20040922001023 |
| Provider Name | Rupal P Gupta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003810623 PECOS PAC ID: 3678520830 Enrollment ID: I20050331000634 |
| Provider Name | Michael K Bednarz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942290705 PECOS PAC ID: 3971534678 Enrollment ID: I20050823000266 |
| Provider Name | Jill K Stepnicka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902807910 PECOS PAC ID: 7315978087 Enrollment ID: I20050823000764 |
| Provider Name | Dorian Louis Jimenez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952397119 PECOS PAC ID: 3274565866 Enrollment ID: I20050902000620 |
| Provider Name | James Livingston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801907696 PECOS PAC ID: 4688607179 Enrollment ID: I20050916000198 |
| Provider Name | Maitraya Thaker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699724427 PECOS PAC ID: 9335167246 Enrollment ID: I20051109000753 |
| Provider Name | Margo A Jimenez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083670673 PECOS PAC ID: 8921011321 Enrollment ID: I20060802000280 |
| Provider Name | Scott R Roman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952364192 PECOS PAC ID: 4082617287 Enrollment ID: I20060808000327 |
| Provider Name | Gregory Alvarez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861496754 PECOS PAC ID: 1153324397 Enrollment ID: I20071009000568 |
| Provider Name | Ketan B Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447254131 PECOS PAC ID: 0244387785 Enrollment ID: I20101015000793 |
| Provider Name | Joseph D Giovinco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316941115 PECOS PAC ID: 8426051665 Enrollment ID: I20101015001105 |
| Provider Name | Jocelyn Kelly Curry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326278896 PECOS PAC ID: 4385838507 Enrollment ID: I20101102000549 |
| Provider Name | Michael F Dombek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588668289 PECOS PAC ID: 9335296870 Enrollment ID: I20101213000781 |
| Provider Name | Herbert Kosmahl |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346304961 PECOS PAC ID: 1658494992 Enrollment ID: I20101216000049 |
| Provider Name | William K Pearson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013911817 PECOS PAC ID: 2769670389 Enrollment ID: I20101227000466 |
| Provider Name | Gregory Taylor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871595843 PECOS PAC ID: 0244344216 Enrollment ID: I20110214000620 |
| Provider Name | Naim Ghais Shaheed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003918152 PECOS PAC ID: 7719098615 Enrollment ID: I20110711000397 |
| Provider Name | Donald R Powell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578869046 PECOS PAC ID: 2062680135 Enrollment ID: I20121128000688 |
| Provider Name | Shamir K Bhikha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881915163 PECOS PAC ID: 5991944019 Enrollment ID: I20130621000559 |
| Provider Name | Sidharth V Reddy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780006437 PECOS PAC ID: 5597984278 Enrollment ID: I20140910002617 |
| Provider Name | Nicholas A Giovinco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831537877 PECOS PAC ID: 5496981656 Enrollment ID: I20150709002562 |
| Provider Name | Wizely Clauther |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154732691 PECOS PAC ID: 1052625670 Enrollment ID: I20160907001343 |
| Provider Name | Osayamen Edigin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902248750 PECOS PAC ID: 8022304328 Enrollment ID: I20160913002162 |
| Provider Name | Anna M Mclemore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831453034 PECOS PAC ID: 4880975937 Enrollment ID: I20170103001026 |
| Provider Name | John B Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689001927 PECOS PAC ID: 1355624057 Enrollment ID: I20170202002221 |
| Provider Name | Evan M Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023458304 PECOS PAC ID: 1850534728 Enrollment ID: I20170927001275 |
| Provider Name | Richard D Kaufman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255714945 PECOS PAC ID: 4082910526 Enrollment ID: I20180830003306 |
| Provider Name | Jose Manuel Gonzalez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265818975 PECOS PAC ID: 3476805979 Enrollment ID: I20181011000534 |
| Provider Name | Christopher Anthony Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275012254 PECOS PAC ID: 3678826492 Enrollment ID: I20181024003115 |
| Provider Name | Joshua Jae Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881188944 PECOS PAC ID: 1254684954 Enrollment ID: I20181026000472 |
| Provider Name | Shaynah Hannah Goldfine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043662364 PECOS PAC ID: 6608105762 Enrollment ID: I20190916000976 |
| Provider Name | Joshua J. Wilder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023471703 PECOS PAC ID: 4789972159 Enrollment ID: I20191016003155 |
| Provider Name | Adam Dean Port |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033684816 PECOS PAC ID: 0042633091 Enrollment ID: I20200708003842 |
| Provider Name | Vishal Ramesh Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891228540 PECOS PAC ID: 4981029964 Enrollment ID: I20200807001700 |
| Provider Name | Nicole Turvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447897764 PECOS PAC ID: 9638597628 Enrollment ID: I20200915002152 |
| Provider Name | Mindy Jean Trotter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184056897 PECOS PAC ID: 6709100068 Enrollment ID: I20210302001495 |
| Provider Name | Quinton Tyler Buckner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942974654 PECOS PAC ID: 8729484696 Enrollment ID: I20210901003046 |
| Provider Name | Joseph R Distefano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013357383 PECOS PAC ID: 3678856358 Enrollment ID: I20211110000477 |
| Provider Name | John M Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417452269 PECOS PAC ID: 4082961677 Enrollment ID: I20220705000355 |
| Provider Name | Jennifer A Monaco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306003850 PECOS PAC ID: 2860688439 Enrollment ID: I20221121001615 |
| Provider Name | Peter Elia Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386020832 PECOS PAC ID: 8527353663 Enrollment ID: I20230120000479 |
| Provider Name | Cameron Spencer Neilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598386823 PECOS PAC ID: 3577984756 Enrollment ID: I20230919003632 |
| Mailing Address | Practice Location Address |
|---|---|
| Ankle And Foot Centers Of Georgia, Llc 1975 Highway 54 W Ste 205, Ste 205, Peachtree City, GA 30269-4794 Ph: (678) 561-9000 | Ankle And Foot Centers Of Georgia, Llc 1975 Highway 54 W Ste 205, Ste 205, Peachtree City, GA 30269-4794 Ph: (678) 561-9000 |
Dr. William Kevin Pearson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Suite 205, Peachtree City, GA 30269 Phone: 678-561-9000 Fax: 770-487-1232 | |
Dr. Mindy Jean Trotter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W Ste 200, Peachtree City, GA 30269 Phone: 770-487-6716 Fax: 770-487-7721 | |
Dr. Ebony B Conner, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 300 Prime Point, Suite 100, Peachtree City, GA 30269 Phone: 678-489-4210 Fax: 678-489-4088 | |
Dr. Joseph D Giovinco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Ste 200, Peachtree City, GA 30269 Phone: 770-487-6716 Fax: 770-487-7721 | |
Shiloh Medical Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1029 N Peachtree Pkwy, Ste 203, Peachtree City, GA 30269 Phone: 770-733-7560 | |
Dr. Bhavin Vijay Mehta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269 Phone: 678-561-9000 Fax: 770-487-1232 | |
Dr. Michael F Dombek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 W, Ste 205, Peachtree City, GA 30269 Phone: 678-561-9000 Fax: 770-487-1232 |