ACTIVE ANKLE & FOOT CARE SPECIALIST
NPI 1831575034
Preferred Provider Organization in Johns Creek, GA

Active since August 11, 2015
6335 HOSPITAL PARKWAY, SUITE 305, JOHNS CREEK, GA 30097(404) 373-7004(404) 373-7008 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Active Ankle & Foot Care Specialist NPPES

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

ACTIVE ANKLE & FOOT CARE SPECIALIST (NPI 1831575034) is a healthcare organization registered as a preferred provider organization in Johns Creek, Georgia and active in the NPI registry since August 2015. The organization lists Ingie M El-khashab, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1831575034
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameACTIVE ANKLE & FOOT CARE SPECIALIST
Location Address6335 HOSPITAL PARKWAY, SUITE 305Johns Creek, GA 30097-5712
Mailing AddressPo Box 71Avondale Estates, GA 30002-0071 · (404) 373-7004 · Fax (404) 373-7008
Fax(404) 373-7008
Organization SubpartNo
Authorized OfficialIngie M El-khashabOwner/physician · (404) 373-7004
Enumeration DateAugust 11, 2015
NPI 1831575034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

6335 HOSPITAL PARKWAY, Johns Creek, GA 30097

Other Identifiers 3

Medicare PIN511I480043GA
Medicare NSC6139410001GA
Medicare UPINV05923GA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831575034, enumerated as an "organization" on August 11, 2015.

The provider is located at 6335 HOSPITAL PARKWAY SUITE 305 JOHNS CREEK, GA 30097 and the phone number is (404) 373-7004.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.