NPI age
5 years
Enumerated 2021-01-23
● Active Type 2 · Organization
Subpart
Ellsworth Foot And Ankle Clinic
Ellsworth Foot And Ankle Clinic is 1 of 45 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellsworth
Ceo
Last NPPES update
2024-09-25
Source: monthly bulk 2026-05
How this organization compares
Across 45 active clinic/center providers in Georgia.
NPI age
5 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 8% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
505 Fairburn Rd Sw Ste 100
Atlanta, GA 303312012
Mailing address
9980 S 300 W Ste 300
Sandy, UT 840703654
Authorized official
Ryan Ellsworth, DPM
Ceo
📞 8012536886
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ryan Ellsworth, DPM Podiatrist NPI 1104130574
- Tamanna Hoque, DPM Podiatrist NPI 1033859095
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PodiatristDefinition to come...
-
PodiatristDefinition to come...
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PodiatristDefinition 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Summit Foot and Ankle
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Ellsworth Foot And Ankle Clinic.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
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