OPTIMUM PODIATRY LLC
NPI 1699359174
Podiatrist - Primary Podiatric Medicine in Powder Springs, GA

Active since May 10, 2021
5077 DALLAS HWY STE 311, POWDER SPRINGS, GA 30127(770) 727-0614(770) 799-8453 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2022, Dec 2, 2021, Sep 14, 2021 and 1 more (4 updates tracked since 2021).

About Optimum Podiatry Llc NPPES

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

OPTIMUM PODIATRY LLC (NPI 1699359174) is a healthcare organization registered as a primary podiatric medicine in Powder Springs, Georgia and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Powder Springs and lists Alvin J Cowans, Owner, as its authorized official.

NPPES Registry Identity

NPI1699359174
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameOPTIMUM PODIATRY LLC
Location Address5077 DALLAS HWY STE 311Powder Springs, GA 30127-4510
Mailing Address5041 Dallas Hwy Ste APowder Springs, GA 30127-6458 · (770) 727-0614 · Fax (770) 799-8453
Fax(770) 799-8453
Organization SubpartNo
Authorized OfficialAlvin J CowansOwner · (770) 727-0614
Enumeration DateMay 10, 2021
Last NPPES UpdateJune 27, 20264 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1699359174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
5077 DALLAS HWY STE 311, Powder Springs, GA 30127

Secondary Practice Location 1

Location 15041 Dallas Hwy Bldg 2 Ste APowder Springs, GA 30127-6458 · Phone (770) 727-0614 · Fax (770) 799-8453

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optimum Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220129000000Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optimum Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1164812202
5077 DALLAS HWY STE 311
Powder Springs, GA 30127
(770) 727-0614
✔ 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.

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 Optimum Podiatry LLC's NPI number?

The NPI number for Optimum Podiatry LLC is 1699359174. It was assigned to this organization in the NPPES registry on May 10, 2021.

Where is Optimum Podiatry LLC located?

Optimum Podiatry LLC is located at 5077 Dallas Hwy Ste 311, Powder Springs, GA 30127. The listed phone number is (770) 727-0614.

What is Optimum Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Optimum Podiatry LLC enrolled in Medicare?

Yes. Optimum Podiatry LLC is registered in the Medicare PECOS enrollment system.

When is Optimum Podiatry LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Optimum Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Optimum Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optimum Podiatry LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Optimum Podiatry 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 Optimum Podiatry LLC was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.