PROCARE FOOT AND ANKLE, LLC
NPI 1609398734
Clinic/Center - Podiatric in Peachtree City, GA

Active since July 11, 2017
117 GOVERNORS SQ STE B, PEACHTREE CITY, GA 30269(678) 489-4210(678) 489-4088 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Feb 17, 2020, Feb 5, 2020 and 2 more (5 updates tracked since 2017).

About Procare Foot And Ankle, Llc NPPES

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

PROCARE FOOT AND ANKLE, LLC (NPI 1609398734) is a healthcare organization registered as a podiatric in Peachtree City, Georgia and active in the NPI registry since July 2017. The organization maintains 2 additional practice locations and lists Ebony B Conner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609398734
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NamePROCARE FOOT AND ANKLE, LLC
Location Address117 GOVERNORS SQ STE BPeachtree City, GA 30269-4811
Mailing Address950 Eagles Landing Pkwy # 592Stockbridge, GA 30281-7343 · (678) 489-4210 · Fax (678) 489-4088
Fax(678) 489-4088
Organization SubpartNo
Authorized OfficialEbony B ConnerCeo · (678) 489-4210
Enumeration DateJuly 11, 2017
Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1609398734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
117 GOVERNORS SQ STE B, Peachtree City, GA 30269

Secondary Practice Locations 2

Location 1300 Prime Point, Suite 100Peachtree City, GA 30269-6851 · Phone (678) 489-4210 · Fax (678) 489-4088
Location 2950 Eagles Landing Pkwy # 592Stockbridge, GA 30281-7343 · Phone (678) 884-6117 · Fax (678) 894-3001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Procare Foot And Ankle, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Procare Foot And Ankle, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1245531821
117 GOVERNORS SQ STE B
Peachtree City, GA 30269
(678) 489-4210
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1568602589
1730 SAINT JULIAN PL
Columbia, SC 29204
(803) 256-6776
✔ PECOS✔ Accepts Medicare209 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 Procare Foot And Ankle, LLC's NPI number?

The NPI number for Procare Foot And Ankle, LLC is 1609398734. It was assigned to this organization in the NPPES registry on July 11, 2017.

Where is Procare Foot And Ankle, LLC located?

Procare Foot And Ankle, LLC is located at 117 Governors Sq Ste B, Peachtree City, GA 30269. The listed phone number is (678) 489-4210.

What is Procare Foot And Ankle, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Procare Foot And Ankle, LLC enrolled in Medicare?

Yes. Procare Foot And Ankle, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Procare Foot And Ankle, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Procare 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Procare Foot And Ankle, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Procare 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 Procare Foot And Ankle, LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.