ELENI ANDRIA FOOTMAN (MD) – Internal Medicine Physician, NPI 1164835005

ELENI ANDRIA FOOTMAN (MD) is a healthcare provider. based in Tucker, Georgia. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 0101261415 (GA). The NPI Number for ELENI ANDRIA FOOTMAN (MD) is 1164835005

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ELENI ANDRIA FOOTMAN (MD)
NPI
1164835005
Phone
(404) 692-4466
Address
4424 HUGH HOWELL RD STE D
Enumeration Date
9 June 2014
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4046924466
Graduation Year
2014 (12 years ago)
PAC ID
9133472657
Group Practice PAC ID
1850644394
Professional Enrollment ID
I20181031001606
Address ID
GA300844905TU4424XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for ELENI ANDRIA FOOTMAN (MD)

  • 4424 HUGH HOWELL RD STE D

    TUCKER, GA 300844905

    Phone: (404) 692-4466

    Fax: (415) 252-7176

    Type: Location

  • 1365 CLIFTON RD NE BLDG A

    SUITE AT441

    ATLANTA, GA 303221013

    Phone: (404) 778-7726

    Type: Mailing

  • 1459 MONTREAL RD

    TUCKER, GA 30084

    Phone: (404) 778-7777

    Type: Location

  • 3300 Gallows Rd

    Department of Medicine Inova Fairfax Hospital

    Falls Church, VA 220423307

    Phone: (703) 776-2173

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181031001606IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes301159$0
99213Established patient office or other outpatient visit, 20-29 minutes244158$0
36415Insertion of needle into vein for collection of blood sample154115$0
99212Established patient office or other outpatient visit, 10-19 minutes9557$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional8362$0
View full utilization report →

Insurance plans in this area (ZIP 30084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850644394View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MA
Internal MedicineGA
Nurse PractitionerGA
Mental Health CounselorGA
Nurse PractitionerGA
Family PracticeIL
Nurse PractitionerSC
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What federal number belongs to ELENI ANDRIA FOOTMAN (MD)?
The federal identifier for ELENI ANDRIA FOOTMAN (MD) is NPI 1164835005.
Does this profile mean ELENI ANDRIA FOOTMAN (MD) is currently active?
Yes — ELENI ANDRIA FOOTMAN (MD) appears active in the national provider directory.
Can you summarize ELENI ANDRIA FOOTMAN (MD)'s specialty in plain language?
Clinically, the directory lists ELENI ANDRIA FOOTMAN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ELENI ANDRIA FOOTMAN (MD)'s primary listing?
We display Tucker, Georgia because that is what the record indicates for ELENI ANDRIA FOOTMAN (MD).
Is ELENI ANDRIA FOOTMAN (MD) a real provider?
This page reflects official NPPES data for NPI 1164835005. Always confirm identity and privileges with the practice and licensing boards.

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