NPI age
18 years
Enumerated 2007-06-25
● Active Type 2 · Organization
S.dekalb Foot & Ankle Surgical Ctr
S.dekalb Foot & Ankle Surgical Ctr is 1 of 45 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Theodore
Podiatrist
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 45 active clinic/center providers in Georgia.
NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
841 Mulberry St
MacOn, GA 312016756
Mailing address
2889 S Rainbow Dr, Suite C
Decatur, GA 300341670
Authorized official
Roger Peter Theodore, DPM
Podiatrist
📞 4042417848
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Clyde Green, MD Family Medicine NPI 1417178187
- Dorothy Thomas, FNP-C Nurse Practitioner NPI 1104298900
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00655322A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FAMILY FOOT & ANKLE CTR
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.