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NPI · 1104130574 · NPPES-sourced

Ryan Ellsworth DPM

ActiveFoot Surgery Podiatrist
NPI Number
1104130574
Type 1 · Individual
Taxonomy Code
213ES0131X
Contact
(404) 618-6077
License UT · 8400193-0501
Last Updated
Enumerated
Primary practice addressGA · 30331-2012
505 Fairburn Rd Sw Ste 100Atlanta, GA 30331-2012
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About this NPIWhat this record shows.

NPI 1104130574 is registered to Ryan Ellsworth DPM, a Foot Surgery Podiatrist practising at 505 Fairburn Rd Sw Ste 100 in Atlanta, Georgia. Foot Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ryan Ellsworth DPM has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 8400193-0501UT· Issued by UT DPM LICENSE
  • 7672880001UT· Issued by DME
  • E5797CA· Issued by CA DPM LICENSE
  • POD001473GA· Issued by GA DPM LICENSE
  • PO4406FL· Issued by FL DPM LICENSE
  • 2109NV· Issued by NV DPM LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ryan Ellsworth DPM accepts. To confirm in-network status with your specific health plan, contact Ryan Ellsworth DPM directly at (404) 618-6077.

Frequently asked

Yes. NPI 1104130574 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Foot Surgery Podiatrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (404) 618-6077.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ryan Ellsworth DPM is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy213ES0131X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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