OrganizationActive
Northeast Georgia Podiatry LLC
NPI 1225575855 · Foot & Ankle Surgery Podiatrist · Gainesville, GA
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
Detailed profile(75/100 index)
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
590 S Enota Dr Ne Ste 1a
Gainesville, GA 30501-2433
Phone: (470) 252-5756
Street-level locationGet directions
Mailing address
590 S Enota Dr Ne Ste 1a
Gainesville, GA 30501-2433
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.