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CENTURY FOOT CARE SPECIALISTS, P.C.
NPI 1164433272
Podiatrist - Foot Surgery in Lilburn, GA

Active since August 11, 2006
625 BEAVER RUIN RD NW, SUITE C, LILBURN, GA 30047(770) 935-4443(770) 935-4475 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Century Foot Care Specialists, P.c. NPPES

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

CENTURY FOOT CARE SPECIALISTS, P.C. (NPI 1164433272) is a healthcare organization registered as a foot surgery in Lilburn, Georgia and active in the NPI registry since August 2006. The organization lists Lissette E Tirado, President, as its authorized official.

NPPES Registry Identity

NPI1164433272
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameCENTURY FOOT CARE SPECIALISTS, P.C.
Location Address625 BEAVER RUIN RD NW, SUITE CLilburn, GA 30047-3467
Mailing Address625 Beaver Ruin Rd Nw, Suite CLilburn, GA 30047-3467 · (770) 935-4443 · Fax (770) 935-4475
Phone(770) 935-4443
Fax(770) 935-4475
Organization SubpartNo
Authorized OfficialLissette E TiradoPresident · (770) 935-4443
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1164433272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in GA · 000729
625 BEAVER RUIN RD NW, Lilburn, GA 30047
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC5029850001GA
Medicaid019971009AGA
Medicare PINGRP6130GA

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

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.

DR. PATRICE LEONIE BASANTA-HENRY M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
625 BEAVER RUIN RD NW, SUITE D
LILBURN, GA 30047
Gwinnett County (770) 279-3838
LISSETTE E. TIRADO D.P.M.
Podiatrist
625 BEAVER RUIN RD NW, SUITE C
LILBURN, GA 30047
Gwinnett County (770) 935-4443

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 Century Foot Care Specialists, P.C.'s NPI number?

The NPI number for Century Foot Care Specialists, P.C. is 1164433272. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Century Foot Care Specialists, P.C. located?

Century Foot Care Specialists, P.C. is located at 625 Beaver Ruin Rd NW Suite C, Lilburn, GA 30047. The listed phone number is (770) 935-4443.

What is Century Foot Care Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Century Foot Care Specialists, P.C. was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.