Healthcare Provider Details

I. General information

NPI: 1174727119
Provider Name (Legal Business Name): GEORGIA FOOT & ANKLE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 ELM STREET
COVINGTON GA
30014-2461
US

IV. Provider business mailing address

3160 ELM STREET
COVINGTON GA
30014-2461
US

V. Phone/Fax

Practice location:
  • Phone: 770-786-0070
  • Fax: 770-786-9744
Mailing address:
  • Phone: 770-786-0070
  • Fax: 770-786-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD000952
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM000747
License Number StateGA

VIII. Authorized Official

Name: STEVEN R CARTER
Title or Position: OWNER PHYSICIAN
Credential: DPM
Phone: 770-786-0070