P Praxis·MD
● Active Type 2 · Organization

Loganville Foot And Ankle Medicine Llc

Podiatrist·Loganville, GA· NPI 1588821318 · Enumerated 2008 · 18 years on NPI
Loganville Foot And Ankle Medicine Llc is 1 of 397 podiatrist organizations in Georgia.
NPI age
18 years
Enumerated 2008-05-20
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
📞 6786394209fax 6786394210
Mailing address
135 Lee Byrd Rd
Loganville, GA 300522310
📞 6786394209fax 6786394210

Authorized official

Jayson B Phelps, DPM
Physician/owner
📞 6786394209

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001006 taxonomy 213ES0103X

Identifiers

TypeValueNotes
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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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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