ELLSWORTH FOOT AND ANKLE CLINIC
ELLSWORTH FOOT AND ANKLE CLINIC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639769672, based in Atlanta, GA. The organization lists 6 taxonomy classifications, with Podiatric Clinic/Center recorded as primary.
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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2062778160
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. 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.
What Podiatric covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QP1100X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QP1100X | Podiatric Clinic/Center Podiatric | — | — | primary |
| 213ER0200X | Radiology Podiatrist Radiology | — | — | |
| 213ES0000X | Sports Medicine Podiatrist Sports Medicine | — | — | |
| 213ES0131X | Foot Surgery Podiatrist Foot Surgery | — | — | |
| 213E00000X | Podiatrist | — | — | |
| 213EP1101X | Primary Podiatric Medicine Podiatrist Primary Podiatric Medicine | — | — |
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1639769672 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 23, 2021 |
| Last updated | Sep 25, 2024 |
| Status | Active |
| 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 |
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 | 6 | 3 | 9 | 7 | 6 | 9 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 5 | 6 | 9 | 6 | 5 |
Sum = 78 · next multiple of 10 = 80 · check digit = 2 · actual last digit = 2
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.