INFINITY FOOT AND ANKLE NPI 1588821318

NPI Information

NPI: 1588821318
Provider Name: INFINITY FOOT AND ANKLE
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
135 LEE BYRD RD
LOGANVILLE, GA
ZIP 30052
Phone: (678) 639-4209
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INFINITY FOOT AND ANKLE is a foot and ankle surgery podiatrist in Loganville, GA. INFINITY FOOT AND ANKLE NPI is 1588821318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 LEE BYRD RD
LOGANVILLE, GA
ZIP 30052-310
Phone: (678) 639-4209
Fax: (678) 639-4210

The provider's authorized official is Jayson B Phelps .
The authorized official title is Physician/owner and has the following contact phone number (678) 639-4209.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 2/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD001006	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7595720	OTHER	GEORGIA	AETNA
2	581994261	OTHER	GEORGIA	UNITED HEALTHCARE
3	829746724O	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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