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EASY WALK FOOT CLINIC LLC
NPI 1508155037
Podiatrist - Foot & Ankle Surgery in Fayetteville, GA

Active since April 05, 2011
101 BECKETT LN, SUITE 104, FAYETTEVILLE, GA 30214(678) 489-6589(678) 489-6522 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Easy Walk Foot Clinic Llc NPPES

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

EASY WALK FOOT CLINIC LLC (NPI 1508155037) is a healthcare organization registered as a foot & ankle surgery in Fayetteville, Georgia and active in the NPI registry since April 2011. The organization lists Azuka Ifeyinwa Nwaedozie, Podiatrist/owner, as its authorized official.

NPPES Registry Identity

NPI1508155037
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEASY WALK FOOT CLINIC LLC
Location Address101 BECKETT LN, SUITE 104Fayetteville, GA 30214-7155
Mailing Address3364 Medina DrJonesboro, GA 30236-6873 · (646) 489-6589 · Fax (678) 489-6522
Phone(678) 489-6589
Fax(678) 489-6522
Organization SubpartNo
Authorized OfficialAzuka Ifeyinwa NwaedoziePodiatrist/owner · (678) 489-6589
Enumeration DateApril 5, 2011
Last NPPES UpdateJuly 16, 2012
✔ NPI 1508155037 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 · POD001142
101 BECKETT LN, Fayetteville, GA 30214
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC6503900002GA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMOLOLA OTUBAGA NP
Nurse Practitioner (Psychiatric/Mental Health)
101 BECKETT LN, STE. 304
FAYETTEVILLE, GA 30214
Fayette County (770) 703-4448
DR. SALIH O FALDON M.D.
Family Medicine
101 BECKETT LN, 506
FAYETTEVILLE, GA 30214
Fayette County (678) 817-9255
GOD'S IN CONTROL TRANSPORTATION SERVICES
Non-emergency Medical Transport (VAN)
101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214
Fayette County (404) 918-1926
PROVIDER RESOURCE SOLUTIONS LLC
Supports Brokerage
101 BECKETT LN
FAYETTEVILLE, GA 30214
Fayette County (404) 829-2715
ASHFORD DENTAL INC. II
Dentist (General Practice)
101 BECKETT LN, SUITE 403
FAYETTEVILLE, GA 30214
Fayette County (770) 461-0400
JENNIFER CORBITT FREEMAN, M.D., P.C.
Specialist
101 BECKETT LN, SUITE 506
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6314
DR. ROBIN DWAYNE ASHFORD D.D.S.
Dentist
101 BECKETT LN, SUITE 404
FAYETTEVILLE, GA 30214
Fayette County (770) 461-0400
PROVIDER RESOURCE SOLUTIONS OF GEORGIA, INC
Community/Behavioral Health
101 BECKETT LN, SUITE 505
FAYETTEVILLE, GA 30214
Fayette County (404) 829-2715

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 Easy Walk Foot Clinic LLC's NPI number?

The NPI number for Easy Walk Foot Clinic LLC is 1508155037. It was assigned to this organization in the NPPES registry on April 5, 2011.

Where is Easy Walk Foot Clinic LLC located?

Easy Walk Foot Clinic LLC is located at 101 Beckett Ln Suite 104, Fayetteville, GA 30214. The listed phone number is (678) 489-6589.

What is Easy Walk Foot Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Easy Walk Foot Clinic LLC was last updated on July 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.