FOOT AND ANKLE SPECIALIST OF GEORGIA, LLC
NPI 1063885929
Podiatrist in Douglasville, GA

Q: What is Foot And Ankle Specialist Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since November 02, 2015

3400 CHAPEL HILL RD, SUITE 321, DOUGLASVILLE, GA 30135(678) 741-5346(678) 999-3030 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Foot And Ankle Specialist Of Georgia, Llc NPPES

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

FOOT AND ANKLE SPECIALIST OF GEORGIA, LLC (NPI 1063885929) is a healthcare organization registered as a podiatrist in Douglasville, Georgia and active in the NPI registry since November 2015. The organization lists Tamala Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1063885929

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameFOOT AND ANKLE SPECIALIST OF GEORGIA, LLC

Location Address3400 CHAPEL HILL RD, SUITE 321Douglasville, GA 30135-1739

Mailing Address3400 Chapel Hill Rd, Suite 321Douglasville, GA 30135-1739 · (678) 741-5346 · Fax (678) 999-3030

Phone(678) 741-5346

Fax(678) 999-3030

Organization SubpartNo

Authorized OfficialTamala WaltonOwner · (404) 933-4291

Enumeration DateNovember 2, 2015

✔ NPI 1063885929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in GA · POD001225

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3400 CHAPEL HILL RD, Douglasville, GA 30135

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Other Identifiers 2

Medicare UPIN202I480396GA

Medicaid003138997CGA

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 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)

Foot And Ankle Specialist Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Foot And Ankle Specialist Of Georgia, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tamala Walton-Sampson, D.P.M

Podiatry

NPI 1326350075

101 JOHN MADDOX DR NW SUITE A
Rome, GA 30165

(706) 232-6739

✔ PECOS✔ Accepts Medicare47 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 Foot And Ankle Specialist Of Georgia, LLC's NPI number?

The NPI number for Foot And Ankle Specialist Of Georgia, LLC is 1063885929. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Foot And Ankle Specialist Of Georgia, LLC located?

Foot And Ankle Specialist Of Georgia, LLC is located at 3400 Chapel Hill Rd Suite 321, Douglasville, GA 30135. The listed phone number is (678) 741-5346.

What is Foot And Ankle Specialist Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Foot And Ankle Specialist Of Georgia, LLC enrolled in Medicare?

Yes. Foot And Ankle Specialist Of Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot And Ankle Specialist Of Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot And Ankle Specialist Of Georgia, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Specialist Of Georgia, LLC was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.