FOOT & ANKLE SPECIALISTS OF NORTHEAST GEORGIA, LLC – Foot & Ankle Surgery Podiatrist, NPI 1326600313
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FOOT & ANKLE SPECIALISTS OF NORTHEAST GEORGIA, LLC
1515 RIVER PL STE 390
BRASELTON, GA 305175605
Phone: (407) 739-3964
Type: Mailing
2312 SPARTA WAY STE A
BUFORD, GA 305192001
Phone: (678) 619-1270
Type: Mailing
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.
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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: 2020-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191029002126 | O | Clinic/Group Practice | GA | 2024-10-31 |
| O20200928000334 | O | Physician - Podiatry | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30517)
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