Northeast Georgia Podiatry LLC
NPI 1225575855ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Gainesville, GA
Podiatrist, Foot & Ankle Surgery in Gainesville, Georgia, registered in NPPES in January 2017. The authorized official on file is Purvi Shaan Shah, DPM, Podiatrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225575855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2017 |
| Last updated in NPPES | Dec 12, 2025 |
| Certified by provider | Dec 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | POD001208 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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