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

Loganville Foot and Ankle Medicine LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1588821318

Loganville Foot and Ankle Medicine LLC is a Foot & Ankle Surgery Podiatrist in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

135 Lee Byrd Rd
Loganville, GA 30052-2310
Phone: (678) 639-4209
Fax: (678) 639-4210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001006 (GA)

Record details

NPI number1588821318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayson Phelps — Physician/Owner · (678) 639-4209
NPI enumeratedMay 20, 2008
Last updated in NPPESOctober 15, 2024
Certification dateOctober 11, 2024
Mailing address135 Lee Byrd Rd, Loganville, GA 30052-2310