Ellsworth Foot and Ankle Clinic
NPI 1639769672 · Podiatric Clinic/Center · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellsworth Foot and Ankle Clinic is a Podiatric Clinic/Center organization in Atlanta, GA (NPI 1639769672).
Provider details
- NPI number
- 1639769672
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ellsworth Foot and Ankle Clinic
- Organization subpart
- Yes
- Authorized official
- Ryan Ellsworth, Ceo(801) 253-6886
Specialties & taxonomies
Ambulatory Health Care Facilities
- Radiology Podiatrist213ER0200X
Podiatric Medicine & Surgery Service Providers
- Sports Medicine Podiatrist213ES0000X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Primary Podiatric Medicine Podiatrist213EP1101X
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
5 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
Other names (DBA / former)
- Doing business as
- Summit Foot and Ankle
Registry dates
- Enumerated
- 2021-01-23
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Ellsworth Foot and Ankle Clinic's NPI number?
- Ellsworth Foot and Ankle Clinic's National Provider Identifier (NPI) is 1639769672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellsworth Foot and Ankle Clinic?
- Ellsworth Foot and Ankle Clinic is classified in the NPPES registry as Podiatric Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellsworth Foot and Ankle Clinic located?
- Ellsworth Foot and Ankle Clinic's practice location on file with NPPES is 505 Fairburn Rd Sw Ste 100, Atlanta, GA 30331-2012.
- What is Ellsworth Foot and Ankle Clinic's phone number?
- The practice phone number listed in the NPPES registry for Ellsworth Foot and Ankle Clinic is (404) 618-6077.
- Does Ellsworth Foot and Ankle Clinic accept Medicare?
- Ellsworth Foot and Ankle Clinic 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 Ellsworth Foot and Ankle Clinic?
- The authorized official listed on Ellsworth Foot and Ankle Clinic's NPPES record is Ryan Ellsworth, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellsworth Foot and Ankle Clinic's NPI active?
- Yes — Ellsworth Foot and Ankle Clinic's NPI (1639769672) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.