ANKLE AND FOOT CLINIC OF GEORGIA, INC.
NPI 1073852786
Podiatrist - Foot & Ankle Surgery in Fayetteville, GA

Active since February 01, 2013
730 LANIER AVE W, FAYETTEVILLE, GA 30214(770) 460-5064(770) 460-0838 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ankle And Foot Clinic Of Georgia, Inc. NPPES

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

ANKLE AND FOOT CLINIC OF GEORGIA, INC. (NPI 1073852786) is a healthcare organization registered as a foot & ankle surgery in Fayetteville, Georgia and active in the NPI registry since February 2013. The organization lists Roberta J Parker, President, as its authorized official.

NPPES Registry Identity

NPI1073852786
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameANKLE AND FOOT CLINIC OF GEORGIA, INC.
Location Address730 LANIER AVE WFayetteville, GA 30214-1509
Mailing Address730 Lanier Ave WFayetteville, GA 30214-1509 · (770) 460-5064 · Fax (770) 460-0838
Fax(770) 460-0838
Organization SubpartNo
Authorized OfficialRoberta J ParkerPresident · (770) 460-5064
Enumeration DateFebruary 1, 2013
✔ NPI 1073852786 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
730 LANIER AVE W, Fayetteville, GA 30214

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)

Ankle And Foot Clinic Of Georgia, Inc. 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 Ankle And Foot Clinic Of Georgia, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1043288459
730 WEST LANIER AVENUE
Fayetteville, GA 30214
(770) 460-5064
✔ PECOS✔ Accepts Medicare2.0 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 Ankle And Foot Clinic Of Georgia, Inc.'s NPI number?

The NPI number for Ankle And Foot Clinic Of Georgia, Inc. is 1073852786. It was assigned to this organization in the NPPES registry on February 1, 2013.

Where is Ankle And Foot Clinic Of Georgia, Inc. located?

Ankle And Foot Clinic Of Georgia, Inc. is located at 730 Lanier Ave W, Fayetteville, GA 30214. The listed phone number is (770) 460-5064.

What is Ankle And Foot Clinic Of Georgia, Inc.'s specialty?

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

Is Ankle And Foot Clinic Of Georgia, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Ankle And Foot Clinic Of Georgia, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Ankle And Foot Clinic Of Georgia, Inc.. 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 Ankle And Foot Clinic Of Georgia, Inc. was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.