SUMMIT FOOT AND ANKLE
NPI 1639769672
Clinic/Center - Podiatric in Atlanta, GA

NPI Status: Active since January 23, 2021

Contact Information

505 FAIRBURN RD SW STE 100
ATLANTA, GA
ZIP 30331
Phone: (404) 618-6077
Fax: (801) 253-6888

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  • Organization
  • Clinic/Center
  • Podiatric
  • Accepts Insurance

About SUMMIT FOOT AND ANKLE

This page provides the complete NPI Profile along with additional information for Summit Foot And Ankle, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1639769672 assigned on January 2021. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Summit Foot And Ankle operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Summit Foot And Ankle. The authorized official of this NPI record is Ryan Ellsworth Dpm (Ceo)

NPI
1639769672
Provider Legal Name
ELLSWORTH FOOT AND ANKLE CLINIC
Other Organization Name
SUMMIT FOOT AND ANKLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 FAIRBURN RD SW STE 100 ATLANTA, GA 30331
Location Phone
(404) 618-6077
Location Fax
(801) 253-6888
Mailing Address
9980 S 300 W STE 300 SANDY, UT 84070
Mailing Phone
(801) 253-6886
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-23-2021
Last Update Date
09-25-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
2213EP1101XPodiatric Medicine & Surgery Service Providers

Podiatrist
Primary Podiatric Medicine

 
3213ER0200XPodiatric Medicine & Surgery Service Providers

Podiatrist
Radiology

 
4213ES0000XPodiatric Medicine & Surgery Service Providers

Podiatrist
Sports Medicine

 
5213ES0131XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN ELLSWORTH DPM

Authorized Official Title
CEO
Authorized Official Phone
(801) 253-6886

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639769672, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 4 + 6 + 1 + 8 + 6 + 1 + 4 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1639769672.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot Surgery)
505 FAIRBURN RD SW STE 100
ATLANTA, GA 30331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639769672, enumerated as an "organization" on January 23, 2021.

The provider is located at 505 FAIRBURN RD SW STE 100 ATLANTA, GA 30331 and the phone number is (404) 618-6077.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.