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: August 09, 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
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

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

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)
1300 PEACHTREE INDUSTRIAL BLVD STE 4105
SUWANEE, GA 30024
Podiatrist (Foot & Ankle Surgery)
1300 PEACHTREE INDUSTRIAL BLVD STE 4105
SUWANEE, GA 30024

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.

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 4 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.