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SUWANEE FOOT AND ANKLE SPECIALISTS LLC
NPI 1184292138
Podiatrist - Foot & Ankle Surgery in Suwanee, GA

Active since June 16, 2021
1300 PEACHTREE INDUSTRIAL BLVD STE 4105, SUWANEE, GA 30024(470) 589-1204(470) 589-1465 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2021, Aug 23, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2021).

About Suwanee Foot And Ankle Specialists Llc NPPES

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

SUWANEE FOOT AND ANKLE SPECIALISTS LLC (NPI 1184292138) is a healthcare organization registered as a foot & ankle surgery in Suwanee, Georgia and active in the NPI registry since June 2021. The organization lists Tommy Lee Tally, Physician, as its authorized official.

NPPES Registry Identity

NPI1184292138
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSUWANEE FOOT AND ANKLE SPECIALISTS LLC
Location Address1300 PEACHTREE INDUSTRIAL BLVD STE 4105Suwanee, GA 30024-4541
Mailing Address1300 Peachtree Industrial Blvd Ste 4105Suwanee, GA 30024-4541 · (470) 589-1204 · Fax (470) 589-1465
Phone(470) 589-1204
Fax(470) 589-1465
Organization SubpartNo
Authorized OfficialTommy Lee TallyPhysician · (470) 589-1204
Enumeration DateJune 16, 2021
Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1184292138 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
1300 PEACHTREE INDUSTRIAL BLVD STE 4105, Suwanee, GA 30024
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Other Identifiers 1

Medicaid003219790AGA

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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suwanee Foot And Ankle Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Suwanee Foot And Ankle Specialists LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Tally, DPM
Podiatry
NPI 1932673902
1300 PEACHTREE INDUSTRIAL BLVD STE 4105
Suwanee, GA 30024
(470) 589-1204
✔ PECOSSame address
Tommy Tally, D.P.M.
Podiatry
NPI 1427523919
1300 PEACHTREE INDUSTRIAL BLVD STE 4105
Suwanee, GA 30024
(470) 589-1204
✔ PECOSSame 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 Suwanee Foot And Ankle Specialists LLC's NPI number?

The NPI number for Suwanee Foot And Ankle Specialists LLC is 1184292138. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is Suwanee Foot And Ankle Specialists LLC located?

Suwanee Foot And Ankle Specialists LLC is located at 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024. The listed phone number is (470) 589-1204.

What is Suwanee Foot And Ankle Specialists LLC's specialty?

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

Is Suwanee Foot And Ankle Specialists LLC enrolled in Medicare?

Yes. Suwanee Foot And Ankle Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suwanee Foot And Ankle Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Suwanee Foot And Ankle Specialists LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Suwanee Foot And Ankle Specialists LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Suwanee Foot And Ankle Specialists 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 Suwanee Foot And Ankle Specialists LLC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.