CMS-1500 Box 24J / 33a • NPI
1053801498
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
213ES0103X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
Box 32 Service Location & ZIP+4
1610 MARS HILL RD STE A, WATKINSVILLE, GA, 30677-4891
✓ 9-Digit EDI 837 ZIP+4 (30677-4891)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1053801498 (JOSEPH NICHOLAS COLASURDO, DPM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1053801498 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JOSEPH NICHOLAS COLASURDO, DPM |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: 213ES0103X (Podiatrist, Foot & Ankle Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1610 MARS HILL RD STE A, WATKINSVILLE, GA, 30677-4891 |
| Practice Telephone / Fax | Tel: (762) 999-8090 | Fax: (706) 597-1998 |
| Administrative Mailing Address | 6350 LAKE OCONEE PKWY STE 110, GREENSBORO, GA, 30642-6490 |
| Enumeration & Last Sync | Enumerated: 2018-05-11 | CMS Record Updated: 2025-04-25 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)
What Does Taxonomy Code 213ES0103X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JOSEPH NICHOLAS COLASURDO, DPM)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: GA | License: POD001547 | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: NY | License: 007215 | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: GA | License: POD001547 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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