ATLANTA PREMIER FOOT AND ANKLE SURGERY
NPI 1689149601
Clinic/Center - Ambulatory Surgical in Woodstock, GA

Active since October 05, 2018CLIA 11D2167334 · Waiver
100 STONEFOREST DR STE 120, WOODSTOCK, GA 30189(404) 245-4969 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2020, Oct 5, 2018 (2 updates tracked since 2018).

About Atlanta Premier Foot And Ankle Surgery NPPES

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

ATLANTA PREMIER FOOT AND ANKLE SURGERY (NPI 1689149601) is a healthcare organization registered as an ambulatory surgical in Woodstock, Georgia and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Nrup Tolat, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1689149601
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameATLANTA PREMIER FOOT AND ANKLE SURGERY
Location Address100 STONEFOREST DR STE 120Woodstock, GA 30189-4881
Mailing Address2170 Sugar Maple Cv NwAcworth, GA 30101-8815 · (140) 424-5496
Organization SubpartNo
Authorized OfficialNrup TolatPodiatrist · (404) 245-4969
Enumeration DateOctober 5, 2018
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1689149601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
100 STONEFOREST DR STE 120, Woodstock, GA 30189

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Premier Foot And Ankle Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Atlanta Premier Foot And Ankle Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1275914749
100 STONEFOREST DR STE 120
Woodstock, GA 30189
(404) 245-4969
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2167334

Atlanta Premier Foot And Ankle Surgery · Woodstock, GA
Active · expires Jun 5, 2027
CLIA Number11D2167334
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorNrup R. Tolat
Laboratory Phone(678) 783-3701
Laboratory LocationAtlanta Premier Foot And Ankle Surgery100 Stoneforest Drive, Suite 120, Woodstock, GA 30189
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Atlanta Premier Foot And Ankle Surgery's NPI number?

The NPI number for Atlanta Premier Foot And Ankle Surgery is 1689149601. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Atlanta Premier Foot And Ankle Surgery located?

Atlanta Premier Foot And Ankle Surgery is located at 100 Stoneforest Dr Ste 120, Woodstock, GA 30189. The listed phone number is (404) 245-4969.

What is Atlanta Premier Foot And Ankle Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Atlanta Premier Foot And Ankle Surgery enrolled in Medicare?

Yes. Atlanta Premier Foot And Ankle Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Premier Foot And Ankle Surgery?

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

Does Atlanta Premier Foot And Ankle Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2167334) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlanta Premier Foot And Ankle Surgery was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.