- Medicare in Atlanta, GA

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is a medicare enrolled "Clinic/center - Podiatric" provider in Atlanta, Georgia. Their current practice location is 505 Fairburn Rd Sw Ste 100, Atlanta, Georgia. You can reach out to their office (for appointments etc.) via phone at (404) 618-6077.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639769672.

Contact Information

505 Fairburn Rd Sw Ste 100,
Atlanta, GA 30331-2012
(404) 618-6077
(801) 253-6888

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Podiatric
Location505 Fairburn Rd Sw Ste 100, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639769672
  • Provider Enumeration Date: 01/23/2021
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062778160
  • Enrollment ID: O20210129000469

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639769672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine (* (Not Available))Secondary
213ER0200XPodiatrist - Radiology (* (Not Available))Secondary
213ES0000XPodiatrist - Sports Medicine (* (Not Available))Secondary
213ES0131XPodiatrist - Foot Surgery (* (Not Available))Secondary
261QP1100XClinic/center - Podiatric (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRyan Ellsworth
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1104130574
PECOS PAC ID: 3678719135
Enrollment ID: I20210203002196
Provider NameParis M Payton
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487174561
PECOS PAC ID: 2668874090
Enrollment ID: I20210708000399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

9980 S 300 W Ste 300,
Sandy, UT 84070-3654

Ph: (801) 253-6886
505 Fairburn Rd Sw Ste 100,
Atlanta, GA 30331-2012

Ph: (404) 618-6077

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.