NORTHEAST GEORGIA PODIATRY LLC
NPI 1225575855
Podiatrist - Foot & Ankle Surgery in Gainesville, GA
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Northeast Georgia Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Georgia Podiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 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.
Is Northeast Georgia Podiatry LLC enrolled in Medicare?
Yes. Northeast Georgia Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Georgia Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Northeast Georgia Podiatry 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Georgia Podiatry 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 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 10 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.
# Northeast Georgia Podiatry Llc · NPI 1225575855
Foot & Ankle Surgery organization in Gainesville, Georgia. Organization record, active in the CMS NPPES registry since January 20, 2017.
## Identity
- **NPI:** 1225575855 (Entity type: Organization)
- **Enumerated:** January 20, 2017
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Purvi Shah, PODIATRIST
## Practice location
- **Address:** 590 S ENOTA DR NE STE 1A, Gainesville, GA 30501-2433
- **Phone:** (470) 252-5756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225575855) · Data from the CMS NPPES public registry.