COMPREHENSIVE PODIATRY CLINIC, LLC
NPI 1366614752
Podiatrist in Stone Mountain, GA
About Comprehensive Podiatry Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPREHENSIVE PODIATRY CLINIC, LLC (NPI 1366614752) is a healthcare organization registered as a podiatrist in Stone Mountain, Georgia and active in the NPI registry since March 2008. The organization lists Tony Gayle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Comprehensive Podiatry Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Comprehensive Podiatry Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
East Point, GA 30344
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 Comprehensive Podiatry, LLC's NPI number?
The NPI number for Comprehensive Podiatry, LLC is 1366614752. It was assigned to this organization in the NPPES registry on March 26, 2008. The provider is doing business as Comprehensive Podiatry Clinic, LLC.
Where is Comprehensive Podiatry, LLC located?
Comprehensive Podiatry, LLC is located at 624 El Prado Ct, Stone Mountain, GA 30083. The listed phone number is (404) 435-6389.
What is Comprehensive Podiatry, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Comprehensive Podiatry, LLC enrolled in Medicare?
Yes. Comprehensive Podiatry, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Comprehensive Podiatry, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Comprehensive 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Comprehensive Podiatry, LLC was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Comprehensive Podiatry Clinic, Llc · NPI 1366614752
Podiatrist organization in Stone Mountain, Georgia. Organization record, active in the CMS NPPES registry since March 26, 2008.
## Identity
- **NPI:** 1366614752 (Entity type: Organization)
- **Enumerated:** March 26, 2008
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Legal business name:** Comprehensive Podiatry, Llc
- **Organization subpart:** No
- **Authorized official:** Tony Gayle, OWNER
## Practice location
- **Address:** 624 EL PRADO CT, Stone Mountain, GA 30083
- **Phone:** (404) 435-6389
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366614752) · Data from the CMS NPPES public registry.