GEORGIA RECONSTRUCTIVE FOOT AND ANKLE
NPI 1114381027
Podiatrist - Foot & Ankle Surgery in Winder, GA

Active since April 06, 2016
293 N BROAD ST, WINDER, GA 30680(770) 867-4110 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Reconstructive Foot And Ankle NPPES

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

GEORGIA RECONSTRUCTIVE FOOT AND ANKLE (NPI 1114381027) is a healthcare organization registered as a foot & ankle surgery in Winder, Georgia and active in the NPI registry since April 2016. The organization lists Randall Alan Hanson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114381027
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGEORGIA RECONSTRUCTIVE FOOT AND ANKLE CENTER LLC
Location Address293 N BROAD STWinder, GA 30680-2155
Mailing Address293 N Broad StWinder, GA 30680-2155 · (770) 867-4110
Organization SubpartNo
Authorized OfficialRandall Alan HansonOwner · (678) 770-5838
Enumeration DateApril 6, 2016
Last NPPES UpdateDecember 12, 2016
NPI 1114381027 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
License Licensed in GA · POD001293
293 N BROAD ST, Winder, GA 30680

Other Names 1

Doing Business AsGeorgia Reconstructive Foot And Ankle

Other Identifiers 2

Medicare NSC7562450001GA
OtherPOD001293GA · License

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
293 N BROAD ST
WINDER, GA 30680
Podiatrist (Foot & Ankle Surgery)
293 N BROAD ST
WINDER, GA 30680

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 Georgia Reconstructive Foot And Ankle Center LLC's NPI number?

The NPI number for Georgia Reconstructive Foot And Ankle Center LLC is 1114381027. It was assigned to this organization in the NPPES registry on April 6, 2016. The provider is doing business as Georgia Reconstructive Foot And Ankle.

Where is Georgia Reconstructive Foot And Ankle Center LLC located?

Georgia Reconstructive Foot And Ankle Center LLC is located at 293 N Broad St, Winder, GA 30680. The listed phone number is (770) 867-4110.

What is Georgia Reconstructive Foot And Ankle Center LLC's specialty?

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

What insurance does Georgia Reconstructive Foot And Ankle Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Georgia Reconstructive Foot And Ankle Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgia Reconstructive Foot And Ankle Center LLC was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.