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SOUTH FULTON FAMILY FOOT CARE, INC.
NPI 1154536126
Clinic/Center - Podiatric in Fairburn, GA

Active since May 13, 2007
67 W CAMPBELLTON ST, FAIRBURN, GA 30213(770) 964-2201(770) 306-9744 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Fulton Family Foot Care, Inc. NPPES

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

SOUTH FULTON FAMILY FOOT CARE, INC. (NPI 1154536126) is a healthcare organization registered as a podiatric in Fairburn, Georgia and active in the NPI registry since May 2007. The organization lists Rona Renell Green, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154536126
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameSOUTH FULTON FAMILY FOOT CARE, INC.
Location Address67 W CAMPBELLTON STFairburn, GA 30213-1338
Mailing AddressPo Box 188Fairburn, GA 30213-0188 · (770) 964-2201 · Fax (770) 306-9744
Phone(770) 964-2201
Fax(770) 306-9744
Organization SubpartNo
Authorized OfficialRona Renell GreenCeo · (770) 964-2201
Enumeration DateMay 13, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1154536126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in GA · 697
67 W CAMPBELLTON ST, Fairburn, GA 30213
Open in Google Maps ↗

Other Identifiers 5

Other451998GA · Ga Bcbs Number
Medicare UPINU52000GA
Medicare PIN48SCBKSGA
Other4355747GA · Ga Aetna Ppo Number
Other697GA · Ga State License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Fulton Family Foot Care, 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 South Fulton Family Foot Care, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Rona Green, DPM
Podiatry
NPI 1659467223
67 W. CAMPBELLTON ST.
Fairburn, GA 30213
(770) 964-2201
✔ PECOS✔ Accepts MedicareSame address

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 South Fulton Family Foot Care, Inc.'s NPI number?

The NPI number for South Fulton Family Foot Care, Inc. is 1154536126. It was assigned to this organization in the NPPES registry on May 13, 2007.

Where is South Fulton Family Foot Care, Inc. located?

South Fulton Family Foot Care, Inc. is located at 67 W Campbellton St, Fairburn, GA 30213. The listed phone number is (770) 964-2201.

What is South Fulton Family Foot Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is South Fulton Family Foot Care, Inc. enrolled in Medicare?

Yes. South Fulton Family Foot Care, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Fulton Family Foot Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to South Fulton Family Foot Care, 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 South Fulton Family Foot Care, Inc. was last updated on April 20, 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.