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

Active since January 23, 2021
505 FAIRBURN RD SW STE 100, ATLANTA, GA 30331(404) 618-6077(801) 253-6888 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 25, 2024, Jun 19, 2024, Nov 24, 2021 and 3 more (6 updates tracked since 2021).

  • 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 Verify this NPI
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

Reviews for SUMMIT FOOT AND ANKLE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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