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: August 09, 2026.

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

About Summit Foot And Ankle NPPES

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

SUMMIT FOOT AND ANKLE (NPI 1639769672) is a healthcare organization registered as a podiatric in Atlanta, Georgia and active in the NPI registry since January 2021. The organization lists Ryan Ellsworth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639769672
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameELLSWORTH FOOT AND ANKLE CLINIC
Location Address505 FAIRBURN RD SW STE 100Atlanta, GA 30331-2012
Mailing Address9980 S 300 W Ste 300Sandy, UT 84070-3654 · (801) 253-6886
Fax(801) 253-6888
Organization SubpartYes
Authorized OfficialRyan EllsworthCeo · (801) 253-6886
Enumeration DateJanuary 23, 2021
Last NPPES UpdateSeptember 25, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1639769672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
505 FAIRBURN RD SW STE 100, Atlanta, GA 30331

Other Names 1

Doing Business AsSummit Foot And Ankle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

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

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 Ellsworth Foot And Ankle Clinic's NPI number?

The NPI number for Ellsworth Foot And Ankle Clinic is 1639769672. It was assigned to this organization in the NPPES registry on January 23, 2021. The provider is doing business as Summit Foot And Ankle.

Where is Ellsworth Foot And Ankle Clinic located?

Ellsworth Foot And Ankle Clinic is located at 505 Fairburn Rd SW Ste 100, Atlanta, GA 30331. The listed phone number is (404) 618-6077.

What is Ellsworth Foot And Ankle Clinic's specialty?

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

What insurance does Ellsworth Foot And Ankle Clinic accept?

Health plans from Alliant Health Plans, Inc. list Ellsworth Foot And Ankle Clinic 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 Ellsworth Foot And Ankle Clinic was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.