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WEST GEORGIA PODIATRY ASSOC.
NPI 1013061357
Podiatrist - Foot & Ankle Surgery in Carrollton, GA

Active since January 23, 2007
125 HISTORY DR, CARROLLTON, GA 30117(770) 832-3546(770) 832-3518 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About West Georgia Podiatry Assoc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST GEORGIA PODIATRY ASSOC. (NPI 1013061357) is a healthcare organization registered as a foot & ankle surgery in Carrollton, Georgia and active in the NPI registry since January 2007. The organization lists Judy M Harris, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1013061357
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWEST GEORGIA PODIATRY ASSOC.
Location Address125 HISTORY DRCarrollton, GA 30117-3969
Mailing Address125 History DrCarrollton, GA 30117-3969 · (770) 832-3546 · Fax (770) 832-3518
Phone(770) 832-3546
Fax(770) 832-3518
Organization SubpartNo
Authorized OfficialJudy M HarrisPractice Administrator · (770) 832-3546
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1013061357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in GA · 000478✔ Licensed in GA · 000434✔ Licensed in GA · 000758
125 HISTORY DR, Carrollton, GA 30117
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Other Identifiers 5

Medicaid000672306AGA
Medicare UPINU59194GA
Medicaid000133834AGA
Medicare NSC1079380001GA
Medicare UPINT86433GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Georgia Podiatry Assoc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to West Georgia Podiatry Assoc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kenneth Danis, D.P.M.
Podiatry
NPI 1215911870
125 HISTORY DR
Carrollton, GA 30117
(770) 832-3546
✔ PECOS✔ Accepts Medicare0.2 mi
Michael Helt, DPM
Podiatry
NPI 1932788536
20 IRWIN AVE
Middletown, NY 10940
(845) 820-6898
✔ PECOS✔ Accepts Medicare798 mi
William Clark, DPM
Podiatry
NPI 1265888937
2345 E 8TH ST STE 105
National City, CA 91950
(858) 275-6320
✔ PECOS✔ Accepts Medicare1,850 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Georgia Podiatry Assoc.'s NPI number?

The NPI number for West Georgia Podiatry Assoc. is 1013061357. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is West Georgia Podiatry Assoc. located?

West Georgia Podiatry Assoc. is located at 125 History Dr, Carrollton, GA 30117. The listed phone number is (770) 832-3546.

What is West Georgia Podiatry Assoc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is West Georgia Podiatry Assoc. enrolled in Medicare?

Yes. West Georgia Podiatry Assoc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Georgia Podiatry Assoc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to West Georgia Podiatry Assoc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Georgia Podiatry Assoc. was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.