NPI age
15 years
Enumerated 2010-07-28
● Active
Type 1 · Individual
Ryan Scott Ellsworth, DPM
Ellsworth is 1 of 3 podiatrist providers in Atlanta and 1 of 42 in Georgia.
Primary specialty
Podiatrist
Plus 8 subspecialties
Licensed in
UT, NV, CA, FL, GA
5 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 42 active podiatrist providers in Georgia.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
5 states
Top 88% — 11% of peers are multi-state
Subspecialties
5
In the 19% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
505 Fairburn Rd Sw Ste 100
Atlanta, GA 303312012
Mailing address
9980 S 300 W Ste 300
Sandy, UT 840703654
Additional practice locations
9 secondary locations on file with NPPES.
Location 2
4019 W 12600 S, Suite 120
Riverton, UT 84096
Location 3
95 White Sage Ave Ste C
Delta, UT 846245555
Location 4
770 S Highway 99
Fillmore, UT 846315033
Location 5
2019 E Riverside Dr Ste A101
St George, UT 847908147
Location 6
3355 N University Ave Ste 175
Provo, UT 846046620
Location 7
12523 S Creek Meadow Rd Ste 105
Riverton, UT 840657299
Location 8
3130 S Highland Dr Ste B4
Salt Lake City, UT 841063095
Location 9
227 N Westwood Blvd
Price, UT 845015500
Location 10
12780 Race Track Rd Ste 417
Tampa, FL 336261395
Specialties
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Podiatrist PrimaryDefinition to come...
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PodiatristA 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...
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PodiatristDefinition to come...
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PodiatristDefinition to come...
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PodiatristDefinition to come...
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PodiatristDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (UT) | 1003111 | |
| 01 (UT) | 8400193-0501 | UT DPM LICENSE |
| 01 (UT) | 7672880001 | DME |
| 01 (CA) | E5797 | CA DPM LICENSE |
| 01 (GA) | POD001473 | GA DPM LICENSE |
| 01 (FL) | PO4406 | FL DPM LICENSE |
| 01 (NV) | 2109 | NV DPM LICENSE |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.