Loganville Foot and Ankle Medicine LLC
NPI 1588821318 · Foot & Ankle Surgery Podiatrist · Loganville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Loganville Foot and Ankle Medicine LLC is a Foot & Ankle Surgery Podiatrist organization in Loganville, GA (NPI 1588821318).
Provider details
- NPI number
- 1588821318
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jayson Phelps, Physician/Owner(678) 639-4209
- License
- POD001006 (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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2024-10-15
- Certified
- 2024-10-11
Frequently asked questions
- What is Loganville Foot and Ankle Medicine LLC's NPI number?
- Loganville Foot and Ankle Medicine LLC's National Provider Identifier (NPI) is 1588821318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Loganville Foot and Ankle Medicine LLC?
- Loganville Foot and Ankle Medicine LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Loganville Foot and Ankle Medicine LLC located?
- Loganville Foot and Ankle Medicine LLC's practice location on file with NPPES is 135 Lee Byrd Rd, Loganville, GA 30052-2310.
- What is Loganville Foot and Ankle Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Loganville Foot and Ankle Medicine LLC is (678) 639-4209.
- Does Loganville Foot and Ankle Medicine LLC accept Medicare?
- Loganville Foot and Ankle Medicine 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 Loganville Foot and Ankle Medicine LLC?
- The authorized official listed on Loganville Foot and Ankle Medicine LLC's NPPES record is Jayson Phelps, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Loganville Foot and Ankle Medicine LLC's NPI active?
- Yes — Loganville Foot and Ankle Medicine LLC's NPI (1588821318) is active in the NPPES registry as of the last update on 2024-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.