NPI age
18 years
Enumerated 2008-05-20
● Active Type 2 · Organization
Loganville Foot And Ankle Medicine Llc
Loganville Foot And Ankle Medicine 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
Phelps
Physician/owner
Last NPPES update
2024-10-15
Source: monthly bulk 2026-05
How this organization compares
Across 397 active podiatrist providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
135 Lee Byrd Rd
Loganville, GA 300522310
Mailing address
135 Lee Byrd Rd
Loganville, GA 300522310
Authorized official
Jayson B Phelps, DPM
Physician/owner
📞 6786394209
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jayson Phelps, DPM Podiatrist NPI 1851362644
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 829746724O | |
| 01 (GA) | 7595720 | AETNA |
| 01 (GA) | 581994261 | UNITED HEALTHCARE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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