Northeast Georgia Podiatry LLC
NPI 1225575855 · Foot & Ankle Surgery Podiatrist · Gainesville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Georgia Podiatry LLC is a Foot & Ankle Surgery Podiatrist organization in Gainesville, GA (NPI 1225575855).
Provider details
- NPI number
- 1225575855
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Purvi Shah, Podiatrist(470) 439-0324
- License
- POD001208 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 600 Garnett St Ste 7Buford, GA 30518-3200Phone: (470) 202-8004
Registry dates
- Enumerated
- 2017-01-20
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Frequently asked questions
- What is Northeast Georgia Podiatry LLC's NPI number?
- Northeast Georgia Podiatry LLC's National Provider Identifier (NPI) is 1225575855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Georgia Podiatry LLC?
- Northeast Georgia Podiatry LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Northeast Georgia Podiatry LLC located?
- Northeast Georgia Podiatry LLC's practice location on file with NPPES is 590 S Enota Dr Ne Ste 1a, Gainesville, GA 30501-2433.
- What is Northeast Georgia Podiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Georgia Podiatry LLC is (470) 252-5756.
- Does Northeast Georgia Podiatry LLC accept Medicare?
- Northeast Georgia Podiatry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Georgia Podiatry LLC?
- The authorized official listed on Northeast Georgia Podiatry LLC's NPPES record is Purvi Shah, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Georgia Podiatry LLC's NPI active?
- Yes — Northeast Georgia Podiatry LLC's NPI (1225575855) is active in the NPPES registry as of the last update on 2025-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.