Ryan Ellsworth, DPM
Ryan Ellsworth, DPM is a provider specialising in Foot Surgery Podiatrist in Atlanta, GA, registered under NPI 1104130574. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 505 FAIRBURN RD SW STE 100, Atlanta, GA 30331. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 8400193-0501 | UT | Foot Surgery Podiatrist primary |
| 2109 | NV | Podiatrist |
| E5797 | CA | Podiatrist |
| PO4406 | FL | Podiatrist |
| POD001473 | GA | Podiatrist |
| 8400193-0501 | UT | Primary Podiatric Medicine Podiatrist |
| 8400193-0501 | UT | Radiology Podiatrist |
| 8400193-0501 | UT | Sports Medicine Podiatrist |
| 8400193-0501 | UT | Foot & Ankle Surgery Podiatrist |
Licences are recorded in 5 states: UT, NV, CA, FL, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Podiatry
- PAC ID
- 3678719135
Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 5 states
This provider holds licences in 5 states: California, Florida, Georgia, Nevada and Utah. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Foot Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0131X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 213ES0131X | Foot Surgery Podiatrist Foot Surgery | 8400193-0501 | UT | primary |
| 213E00000X | Podiatrist | 2109 | NV | |
| 213E00000X | Podiatrist | E5797 | CA | |
| 213E00000X | Podiatrist | PO4406 | FL | |
| 213E00000X | Podiatrist | POD001473 | GA | |
| 213EP1101X | Primary Podiatric Medicine Podiatrist Primary Podiatric Medicine | 8400193-0501 | UT | |
| 213ER0200X | Radiology Podiatrist Radiology | 8400193-0501 | UT | |
| 213ES0000X | Sports Medicine Podiatrist Sports Medicine | 8400193-0501 | UT | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 8400193-0501 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104130574 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 28, 2010 |
| Last updated | Jun 17, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DPM |
| Practice address |
505 FAIRBURN RD SW STE 100 Atlanta, GA 30331 (404) 618-6077 Fax (801) 253-6888 |
| Mailing address |
9980 S 300 W STE 300 Sandy, UT 84070 |
| Other identifiers |
1003111
(UT) 8400193-0501 · UT DPM LICENSE (UT) 7672880001 · DME (UT) E5797 · CA DPM LICENSE (CA) POD001473 · GA DPM LICENSE (GA) PO4406 · FL DPM LICENSE (FL) 2109 · NV DPM LICENSE (NV) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 1 | 3 | 0 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 2 | 3 | 0 | 5 | 5 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.