SOUTHERN FOOT AND ANKLE INSTITUTE LLC
NPI 1720718414
Podiatrist in Alpharetta, GA

Active since June 15, 2022
11680 GREAT OAKS WAY STE 530, ALPHARETTA, GA 30022(770) 755-5749(770) 755-5741 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Foot And Ankle Institute Llc NPPES

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

SOUTHERN FOOT AND ANKLE INSTITUTE LLC (NPI 1720718414) is a healthcare organization registered as a podiatrist in Alpharetta, Georgia and active in the NPI registry since June 2022. The organization maintains a secondary practice location in Cumming and lists Taryn Jones, Pm, as its authorized official.

NPPES Registry Identity

NPI1720718414
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTHERN FOOT AND ANKLE INSTITUTE LLC
Location Address11680 GREAT OAKS WAY STE 530Alpharetta, GA 30022-2460
Mailing Address11680 Great Oaks Way Ste 530Alpharetta, GA 30022-2460 · (770) 755-5749 · Fax (770) 755-5741
Fax(770) 755-5741
Organization SubpartNo
Authorized OfficialTaryn JonesPm · (404) 966-5788
Enumeration DateJune 15, 2022
Last NPPES UpdateJuly 14, 2022
NPPES CertifiedJuly 14, 2022
✔ NPI 1720718414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
11680 GREAT OAKS WAY STE 530, Alpharetta, GA 30022

Secondary Practice Location 1

Location 14150 Deputy Bill Cantrell Memorial Road Ste 180Cumming, GA 30040 · Phone (770) 755-5749 · Fax (770) 755-5741

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)

Southern Foot And Ankle Institute Llc 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 Southern Foot And Ankle Institute LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1659355584
3400 OLD MILTON PKWY BLDG A STE. 500
Alpharetta, GA 30005
(770) 667-4410
✔ PECOS✔ Accepts Medicare0.6 mi

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 Southern Foot And Ankle Institute LLC's NPI number?

The NPI number for Southern Foot And Ankle Institute LLC is 1720718414. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Southern Foot And Ankle Institute LLC located?

Southern Foot And Ankle Institute LLC is located at 11680 Great Oaks Way Ste 530, Alpharetta, GA 30022. The listed phone number is (770) 755-5749.

What is Southern Foot And Ankle Institute LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Southern Foot And Ankle Institute LLC enrolled in Medicare?

Yes. Southern Foot And Ankle Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Foot And Ankle Institute LLC?

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

When was this NPI record last updated?

The NPPES record for Southern Foot And Ankle Institute LLC was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.