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FOOT AND ANKLE RECONSTRUCTION OF GEORGIA PC
NPI 1356058937
Podiatrist - Foot & Ankle Surgery in Woodstock, GA

Active since November 02, 2022
970 WOODSTOCK PKWY STE 200, WOODSTOCK, GA 30188(770) 999-0804(770) 999-0814 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2024, Nov 2, 2022 (2 updates tracked since 2022).

About Foot And Ankle Reconstruction Of Georgia Pc NPPES

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

FOOT AND ANKLE RECONSTRUCTION OF GEORGIA PC (NPI 1356058937) is a healthcare organization registered as a foot & ankle surgery in Woodstock, Georgia and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Jasper and lists Andrea Cass, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1356058937
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameFOOT AND ANKLE RECONSTRUCTION OF GEORGIA PC
Location Address970 WOODSTOCK PKWY STE 200Woodstock, GA 30188-4869
Mailing Address970 Woodstock Pkwy Ste 200Woodstock, GA 30188-4869 · (770) 999-0804 · Fax (770) 999-0814
Phone(770) 999-0804
Fax(770) 999-0814
Organization SubpartNo
Authorized OfficialAndrea CassOwner / Provider · (404) 295-6412
Enumeration DateNovember 2, 2022
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1356058937 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
970 WOODSTOCK PKWY STE 200, Woodstock, GA 30188
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Secondary Practice Location 1

Location 149 GORDON RD STE 104Jasper, GA 30143-3014 · Phone (770) 999-0804

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foot And Ankle Reconstruction Of Georgia Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Foot And Ankle Reconstruction Of Georgia PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Distefano, DPM
Podiatry
NPI 1013357383
3325 SHALLOWFORD RD STE 200
Marietta, GA 30062
(770) 999-0804
✔ PECOS✔ Accepts Medicare6.9 mi
Andrea Cass, DPM
Podiatry
NPI 1942447446
3200 HIGHLANDS PARKWAY SUITE 100
Smyrna, GA 30080
(770) 319-5502
✔ PECOS✔ Accepts Medicare20 mi
Joe Southerland, DPM
Podiatry
NPI 1659321107
49 GORDON RD SUITE 104
Jasper, GA 30143
(770) 999-0804
✔ PECOS✔ Accepts Medicare25 mi

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 Foot And Ankle Reconstruction Of Georgia PC's NPI number?

The NPI number for Foot And Ankle Reconstruction Of Georgia PC is 1356058937. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Foot And Ankle Reconstruction Of Georgia PC located?

Foot And Ankle Reconstruction Of Georgia PC is located at 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188. The listed phone number is (770) 999-0804.

What is Foot And Ankle Reconstruction Of Georgia PC's specialty?

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

Is Foot And Ankle Reconstruction Of Georgia PC enrolled in Medicare?

Yes. Foot And Ankle Reconstruction Of Georgia PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foot And Ankle Reconstruction Of Georgia PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Foot And Ankle Reconstruction Of Georgia PC. 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.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Reconstruction Of Georgia PC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.