MEDICARE: ADVANCED ANKLE & FOOT CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689441578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ANKLE & FOOT CENTER

Provider Business Mailing Address
First Line	:	113 BASCOM CT STE B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2798
Country	:	US
Telephone Number	:	706-221-2082
Fax Number	:	706-221-2083

Provider Business Practice Location Address
First Line	:	113 BASCOM CT STE B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-2798
Country	:	US
Telephone Number	:	706-221-2082
Fax Number	:	706-221-2083

Authorized Official
Title or Position	:	DOCTOR
Name	:	JOHN J SCHOPPE JR.
Credential	:	DPM
Telephone Number	:	762-850-8870

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	01/21/2026

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