Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Reconstructive Foot and Ankle Center LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1114381027

Georgia Reconstructive Foot and Ankle Center LLC is a Foot & Ankle Surgery Podiatrist in Winder, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

293 N Broad St
Winder, GA 30680-2155
Phone: (770) 867-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001293 (GA)

Record details

NPI number1114381027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Hanson — Owner · (678) 770-5838
Other names Georgia Reconstructive Foot And Ankle
NPI enumeratedApril 6, 2016
Last updated in NPPESDecember 12, 2016
Mailing address293 N Broad St, Winder, GA 30680-2155

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