GEORGIA BLUE FOOT AND ANKLE,LLC
NPI 1508387796
Podiatrist in Douglasville, GA

Active since June 28, 2017
6554 SPRING ST, DOUGLASVILLE, GA 30134(800) 891-4930(770) 741-0775 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, Jun 28, 2017 (2 updates tracked since 2017).

About Georgia Blue Foot And Ankle,llc NPPES

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

GEORGIA BLUE FOOT AND ANKLE,LLC (NPI 1508387796) is a healthcare organization registered as a podiatrist in Douglasville, Georgia and active in the NPI registry since June 2017. The organization lists Danielle Matrece Green- Watson, Owner/ Partner, as its authorized official.

NPPES Registry Identity

NPI1508387796
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGEORGIA BLUE FOOT AND ANKLE,LLC
Location Address6554 SPRING STDouglasville, GA 30134-1897
Mailing Address310 Collegiate DrPowder Springs, GA 30127-4333 · (407) 844-4499
Fax(770) 741-0775
Organization SubpartNo
Authorized OfficialDanielle Matrece Green- WatsonOwner/ Partner · (407) 844-4499
Enumeration DateJune 28, 2017
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1508387796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · POD001319
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6554 SPRING ST, Douglasville, GA 30134

Other Names 1

Other NameWatson And Cowans Foot And Ankle

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20180319002013DME · Physician - PodiatryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Georgia Blue Foot And Ankle,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1801282892
3387 HIGHWAY 5 STE H
Douglasville, GA 30135
(404) 217-2700
✔ PECOS5.7 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 Georgia Blue Foot And Ankle,llc's NPI number?

The NPI number for Georgia Blue Foot And Ankle,llc is 1508387796. It was assigned to this organization in the NPPES registry on June 28, 2017. The provider is also known as Watson and Cowans Foot and Ankle.

Where is Georgia Blue Foot And Ankle,llc located?

Georgia Blue Foot And Ankle,llc is located at 6554 Spring St, Douglasville, GA 30134. The listed phone number is (800) 891-4930.

What is Georgia Blue Foot And Ankle,llc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Georgia Blue Foot And Ankle,llc enrolled in Medicare?

Yes. Georgia Blue Foot And Ankle,llc is registered in the Medicare PECOS enrollment system.

When is Georgia Blue Foot And Ankle,llc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Georgia Blue Foot And Ankle,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Georgia Blue Foot And Ankle,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.

What insurance does Georgia Blue Foot And Ankle,llc accept?

Health plans from Ambetter Health list Georgia Blue Foot And Ankle,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 Georgia Blue Foot And Ankle,llc was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.