NORTHEAST GEORGIA PODIATRY LLC
NPI 1225575855
Podiatrist - Foot & Ankle Surgery in Gainesville, GA
NPI Status: Active since January 20, 2017
Contact Information
590 S ENOTA DR NE STE 1A
GAINESVILLE, GA
ZIP 30501
Phone: (470) 252-5756
- Organization
- Podiatrist
- Foot & Ankle Surgery
- Accepts Insurance
- CLIA Number: 11D0997747
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-15-2026
About NORTHEAST GEORGIA PODIATRY LLC
This page provides the complete NPI Profile along with additional information for Northeast Georgia Podiatry Llc, a provider established in Gainesville, Georgia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1225575855 assigned on January 2017. The practitioner's primary taxonomy code is 213ES0103X with license number POD001208 (GA). The provider is registered as an organization and their NPI record was last updated December 2025. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Purvi Shaan Shah Dpm (Podiatrist)
- NPI
- 1225575855
- Provider Name
- NORTHEAST GEORGIA PODIATRY LLC
- Entity Type
- Organization
- Location Address
- 590 S ENOTA DR NE STE 1A GAINESVILLE, GA 30501
- Location Phone
- (470) 252-5756
- Mailing Address
- 590 S ENOTA DR NE STE 1A GAINESVILLE, GA 30501
- Mailing Phone
- (470) 252-5756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-20-2017
- Last Update Date
- 12-12-2025
- Code Navigator
Location Map
Secondary Locations
- 600 Garnett St Ste 7
Buford, GA 30518
(470) 202-8004
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- POD001208
- License State
- GA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0997747
- Facility Type
- Physician Office
- Certificate Effective Date
- May 16, 2024
- Certificate Expiration Date
- May 15, 2026
- Laboratory Director
- ERIC BOHN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Northeast Georgia Podiatry Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225575855, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225575855, enumerated as an "organization" on January 20, 2017.
The provider is located at 590 S ENOTA DR NE STE 1A GAINESVILLE, GA 30501 and the phone number is (470) 252-5756.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
