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: July 19, 2026.

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About ANKLE AND FOOT CLINIC OF GEORGIA, INC.

This page provides the complete NPI Profile along with additional information for Ankle And Foot Clinic Of Georgia, Inc., a provider established in Fayetteville, Georgia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1073852786 assigned on February 2013. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Roberta J Parker D.p.m. (President)

NPI
1073852786 Verify this NPI
Provider Name
ANKLE AND FOOT CLINIC OF GEORGIA, INC.
Entity Type
Organization
Location Address
730 LANIER AVE W FAYETTEVILLE, GA 30214
Location Phone
(770) 460-5064
Location Fax
(770) 460-0838
Mailing Address
730 LANIER AVE W FAYETTEVILLE, GA 30214
Mailing Phone
(770) 460-5064
Mailing Fax
(770) 460-0838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2013
Last Update Date
02-01-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERTA J PARKER D.P.M.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 460-5064

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073852786, enumerated as an "organization" on February 01, 2013.

The provider is located at 730 LANIER AVE W FAYETTEVILLE, GA 30214 and the phone number is (770) 460-5064.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.