| Village Podiatry Group Ii, Llc. | |
|
2045 Peachtree Road Ne, Suite 810, Atlanta, GA 30309-1412 | |
| (404) 446-1890 | |
| (404) 446-1898 |
| Full Name | Village Podiatry Group Ii, Llc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2045 Peachtree Road Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427540699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Brian N Bennett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275639692 PECOS PAC ID: 8123929890 Enrollment ID: I20040323000144 |
| Provider Name | Mickey D Stapp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023114238 PECOS PAC ID: 1951202621 Enrollment ID: I20040323000185 |
| Provider Name | Mitchell P Hilsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558327809 PECOS PAC ID: 0143297473 Enrollment ID: I20040915000499 |
| Provider Name | Stuart M Tuck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649230335 PECOS PAC ID: 8224082599 Enrollment ID: I20050309000664 |
| Provider Name | Craig A Camasta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235131079 PECOS PAC ID: 5799674081 Enrollment ID: I20050404001114 |
| Provider Name | Jennifer S Price |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124010863 PECOS PAC ID: 4981641651 Enrollment ID: I20050413001299 |
| Provider Name | Stephanie Michael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790775559 PECOS PAC ID: 6800837022 Enrollment ID: I20050518000797 |
| Provider Name | Mark M Snyder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801859053 PECOS PAC ID: 7911949136 Enrollment ID: I20050527000495 |
| Provider Name | Clair Bello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518960855 PECOS PAC ID: 3971594250 Enrollment ID: I20050609000798 |
| Provider Name | La Genia D.p.m. Mitchell Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467444570 PECOS PAC ID: 3476581950 Enrollment ID: I20050727000639 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104816941 PECOS PAC ID: 3971514118 Enrollment ID: I20060601000028 |
| Provider Name | Allen T Raphael |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770539801 PECOS PAC ID: 7113930975 Enrollment ID: I20060720000259 |
| Provider Name | Dane A Ulett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992767594 PECOS PAC ID: 1759394430 Enrollment ID: I20060725000103 |
| Provider Name | John A Ruch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548282551 PECOS PAC ID: 6608979760 Enrollment ID: I20070320000422 |
| Provider Name | Lawanna K Monday |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568663144 PECOS PAC ID: 7911008396 Enrollment ID: I20070730000427 |
| Provider Name | Steven A Weiskopf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750388237 PECOS PAC ID: 0345272563 Enrollment ID: I20080626000238 |
| Provider Name | Pinecca Patel Raval |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003012949 PECOS PAC ID: 3476625070 Enrollment ID: I20080626000265 |
| Provider Name | Andrew D Warner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518927292 PECOS PAC ID: 3072569870 Enrollment ID: I20080626000463 |
| Provider Name | Anthony M Cutsuries |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124093273 PECOS PAC ID: 9032157037 Enrollment ID: I20080716000341 |
| Provider Name | Richard C Aronoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346202942 PECOS PAC ID: 8527132463 Enrollment ID: I20080811000419 |
| Provider Name | David A Bell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881795599 PECOS PAC ID: 7416917836 Enrollment ID: I20090831000362 |
| Provider Name | Mohammad A Sharif |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851357164 PECOS PAC ID: 0345343406 Enrollment ID: I20100209000546 |
| Provider Name | Rudolph Cisco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043236706 PECOS PAC ID: 1557406592 Enrollment ID: I20100302000881 |
| Provider Name | Aaron Solomon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356344691 PECOS PAC ID: 3678577715 Enrollment ID: I20100913000034 |
| Provider Name | Christopher David Anna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144262148 PECOS PAC ID: 8426061367 Enrollment ID: I20110111000394 |
| Provider Name | David N Helfman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629073481 PECOS PAC ID: 2365339694 Enrollment ID: I20111019000209 |
| Provider Name | Zia Mustafa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972826576 PECOS PAC ID: 6800084971 Enrollment ID: I20121024000615 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467614438 PECOS PAC ID: 3577731959 Enrollment ID: I20130515000520 |
| Provider Name | Christopher Russel Corwin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003850983 PECOS PAC ID: 0547272155 Enrollment ID: I20130620000309 |
| Provider Name | Cheree Shantell Eldridge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891059887 PECOS PAC ID: 5597072017 Enrollment ID: I20150916001547 |
| Provider Name | Vann Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902108053 PECOS PAC ID: 7012187727 Enrollment ID: I20151221001478 |
| Provider Name | Trevor Payne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467887877 PECOS PAC ID: 9335436211 Enrollment ID: I20160920002146 |
| Provider Name | Sam Bazrafshan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417314477 PECOS PAC ID: 4880989656 Enrollment ID: I20160923001705 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20190111000803 |
| Provider Name | David Q Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780683136 PECOS PAC ID: 8224237649 Enrollment ID: I20190226002502 |
| Provider Name | Monica S. Dontamsetti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922459759 PECOS PAC ID: 6204171275 Enrollment ID: I20190814003088 |
| Provider Name | Rizcion Bamba Dagani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801291950 PECOS PAC ID: 0941633374 Enrollment ID: I20191125003199 |
| Provider Name | Gurleen Kaur Brar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154818235 PECOS PAC ID: 8022411412 Enrollment ID: I20210722002152 |
| Provider Name | Amy G. Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033606967 PECOS PAC ID: 5294126900 Enrollment ID: I20220106000767 |
| Provider Name | John C. Haight |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154941714 PECOS PAC ID: 9032540281 Enrollment ID: I20220325000173 |
| Provider Name | John A. Martucci |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083111207 PECOS PAC ID: 8729488143 Enrollment ID: I20220720002512 |
| Provider Name | Samantha A Miner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932604170 PECOS PAC ID: 0840549366 Enrollment ID: I20220728002802 |
| Provider Name | Navita Khatri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205457348 PECOS PAC ID: 9537541727 Enrollment ID: I20220804001924 |
| Provider Name | Khatija Sultana Ahmed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467017038 PECOS PAC ID: 0042692998 Enrollment ID: I20220809002255 |
| Provider Name | Gloria Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124503511 PECOS PAC ID: 2961747324 Enrollment ID: I20230202003356 |
| Provider Name | Crystal L Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659818672 PECOS PAC ID: 8729352323 Enrollment ID: I20230302000566 |
| Provider Name | Pamela Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134527237 PECOS PAC ID: 8426376401 Enrollment ID: I20230305000013 |
| Provider Name | Christiana Beveridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316441199 PECOS PAC ID: 1355748088 Enrollment ID: I20230308002408 |
| Provider Name | Zaheer Ahammad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205491065 PECOS PAC ID: 1254799406 Enrollment ID: I20230620001716 |
| Provider Name | Trey M. Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245868405 PECOS PAC ID: 8527426634 Enrollment ID: I20230622001105 |
| Provider Name | Guang Yang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417417742 PECOS PAC ID: 5597123265 Enrollment ID: I20230628001405 |
| Provider Name | Jared Dirks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659351013 PECOS PAC ID: 1850396763 Enrollment ID: I20231204000968 |
| Provider Name | Tess Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225626435 PECOS PAC ID: 1557735305 Enrollment ID: I20240301001167 |
| Provider Name | Keyvan Ganz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538104096 PECOS PAC ID: 1557379849 Enrollment ID: I20240321001895 |
| Provider Name | Aria Mansoori |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154950509 PECOS PAC ID: 9931547775 Enrollment ID: I20240329001093 |
| Provider Name | Lisa Thatcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922450618 PECOS PAC ID: 2365785904 Enrollment ID: I20240426000155 |
| Provider Name | Nathan Carman Tirabassi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225438328 PECOS PAC ID: 2466996905 Enrollment ID: I20240626000583 |
| Provider Name | Kushkaran Kaur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023639572 PECOS PAC ID: 5890118988 Enrollment ID: I20240626002718 |
| Provider Name | Christen R Canada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386401024 PECOS PAC ID: 9335685643 Enrollment ID: I20240723003118 |
| Provider Name | Jason Laporte |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487143392 PECOS PAC ID: 7214361286 Enrollment ID: I20240806002606 |
| Provider Name | Sharadha Krishnappan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346829421 PECOS PAC ID: 2466986708 Enrollment ID: I20241111000012 |
| Provider Name | James Daniel Henry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972183077 PECOS PAC ID: 4486058112 Enrollment ID: I20241114003997 |
| Provider Name | Jay C Moritz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891798435 PECOS PAC ID: 0244272813 Enrollment ID: I20250128003161 |
| Mailing Address | Practice Location Address |
|---|---|
| Village Podiatry Group Ii, Llc. Po Box 108, Dallas, GA 30132-0003 Ph: (678) 426-2171 | Village Podiatry Group Ii, Llc. 2045 Peachtree Road Ne, Suite 810, Atlanta, GA 30309-1412 Ph: (404) 446-1890 |
Ayanda Dube, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-727-5658 | |
Dr. Barbara S. Schlefman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2789 Joel Pl, Atlanta, GA 30360 Phone: 770-604-3803 | |
A. Louis Jimenez D.p.m. Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1150 Hammond Dr Bldg E, Suite 600, Atlanta, GA 30328 Phone: 678-395-3628 Fax: 678-691-5164 | |
Kushkaran Kaur, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5445 Meridian Mark Rd Ste 390, Atlanta, GA 30342 Phone: 404-237-3668 Fax: 404-237-9562 | |
Dr. Frank Andrew Sinkoe, OPM DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1935 Cliff Valley Way Ne, 118, Atlanta, GA 30329 Phone: 404-329-5050 Fax: 404-329-5005 | |
Diabetic Foot Care Specialist Of Georgia Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 238 Walker St Sw, Unit #12, Atlanta, GA 30313 Phone: 404-759-6755 Fax: 334-271-3768 | |
Margo Angela Jimenez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2295 Parklake Dr Ne Ste 150, Atlanta, GA 30345 Phone: 770-938-5974 Fax: 770-939-4450 |