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ATLANTA SPORTS PODIATRY
NPI 1902371073
Podiatrist in Johns Creek, GA

Active since October 04, 2018
9700 MEDLOCK BRIDGE RD STE 126, JOHNS CREEK, GA 30097(770) 614-0003 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2019, Apr 29, 2019, Oct 23, 2018 and 1 more (4 updates tracked since 2018).

About Atlanta Sports Podiatry NPPES

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

ATLANTA SPORTS PODIATRY (NPI 1902371073) is a healthcare organization registered as a podiatrist in Johns Creek, Georgia and active in the NPI registry since October 2018. The organization lists Jay E Spector, Owner, as its authorized official.

NPPES Registry Identity

NPI1902371073
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameATLANTA SPORTS PODIATRY
Location Address9700 MEDLOCK BRIDGE RD STE 126Johns Creek, GA 30097-4408
Mailing Address9700 Medlock Bridge Rd Ste 126Duluth, GA 30097-4408 · (770) 614-0003
Phone(770) 614-0003
Organization SubpartNo
Authorized OfficialJay E SpectorOwner · (770) 614-0003
Enumeration DateOctober 4, 2018
Last NPPES UpdateNovember 15, 20194 updates tracked since enumeration
✔ NPI 1902371073 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.
9700 MEDLOCK BRIDGE RD STE 126, Johns Creek, GA 30097
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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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 Sports Podiatry 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 Sports Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jay Spector, DPM
Podiatry
NPI 1619979325
9700 MEDLOCK BRIDGE RD STE 126
Johns Creek, GA 30097
(404) 614-0003
✔ 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 Atlanta Sports Podiatry's NPI number?

The NPI number for Atlanta Sports Podiatry is 1902371073. It was assigned to this organization in the NPPES registry on October 4, 2018.

Where is Atlanta Sports Podiatry located?

Atlanta Sports Podiatry is located at 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097. The listed phone number is (770) 614-0003.

What is Atlanta Sports Podiatry's specialty?

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

Is Atlanta Sports Podiatry enrolled in Medicare?

Yes. Atlanta Sports Podiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Sports Podiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Atlanta Sports Podiatry. 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 Atlanta Sports Podiatry accept?

Health plans from Alliant Health Plans, Inc. list Atlanta Sports Podiatry 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 Atlanta Sports Podiatry was last updated on November 15, 2019. 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.