NPI age
10 years
Enumerated 2016-04-06
● Active Type 2 · Organization
Georgia Reconstructive Foot And Ankle Center Llc
Georgia Reconstructive Foot And Ankle Center Llc is 1 of 397 podiatrist organizations in Georgia.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hanson
Owner
Last NPPES update
2016-12-12
Source: monthly bulk 2026-05
How this organization compares
Across 397 active podiatrist providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
293 N Broad St
Winder, GA 306802155
Mailing address
293 N Broad St
Winder, GA 306802155
Authorized official
Randall Alan Hanson, DPM
Owner
📞 6787705838
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Randall Hanson, D.P.M. Podiatrist NPI 1760810766
- Drew Xenos, DPM Podiatrist NPI 1659359081
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | POD001293 | LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Reconstructive Foot and Ankle
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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