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NORTHEAST GEORGIA PODIATRY LLC
NPI 1225575855
Podiatrist - Foot & Ankle Surgery in Gainesville, GA

Active since January 20, 2017
590 S ENOTA DR NE STE 1A, GAINESVILLE, GA 30501(470) 252-5756 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Jan 20, 2017 (2 updates tracked since 2017).

About Northeast Georgia Podiatry Llc NPPES

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

NORTHEAST GEORGIA PODIATRY LLC (NPI 1225575855) is a healthcare organization registered as a foot & ankle surgery in Gainesville, Georgia and active in the NPI registry since January 2017. The organization maintains a secondary practice location in Buford and lists Purvi Shaan Shah, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1225575855
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHEAST GEORGIA PODIATRY LLC
Location Address590 S ENOTA DR NE STE 1AGainesville, GA 30501-2433
Mailing Address590 S Enota Dr Ne Ste 1aGainesville, GA 30501-2433 · (470) 252-5756
Phone(470) 252-5756
Organization SubpartNo
Authorized OfficialPurvi Shaan ShahPodiatrist · (470) 439-0324
Enumeration DateJanuary 20, 2017
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1225575855 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 · POD001208
590 S ENOTA DR NE STE 1A, Gainesville, GA 30501
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Secondary Practice Location 1

Location 1600 Garnett St Ste 7Buford, GA 30518-3200 · Phone (470) 202-8004

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..Insurance ›

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 Northeast Georgia Podiatry LLC's NPI number?

The NPI number for Northeast Georgia Podiatry LLC is 1225575855. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Northeast Georgia Podiatry LLC located?

Northeast Georgia Podiatry LLC is located at 590 S Enota Dr NE Ste 1A, Gainesville, GA 30501. The listed phone number is (470) 252-5756.

What is Northeast Georgia Podiatry LLC's specialty?

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

What insurance does Northeast Georgia Podiatry LLC accept?

Health plans from Alliant Health Plans, Inc. list Northeast Georgia Podiatry 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 Northeast Georgia Podiatry LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.