CHARLES FRANCIS FENTON III DPM
NPI 1942202783
Podiatrist in Atlanta, GA

NPI Status: Active since August 11, 2005

Contact Information

5505 PEACHTREE DUNWOODY RD NE
SUITE 420
ATLANTA, GA
ZIP 30342
Phone: (404) 843-0090
Fax: (404) 843-1008

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  • Individual
  • Male
  • Podiatrist
  • Accepts Insurance
  • PECOS Enrolled

About CHARLES FENTON

This page provides the complete NPI Profile along with additional information for Charles Fenton, a provider established in Atlanta, Georgia with a medical specialization in Podiatrist. The healthcare provider is registered in the NPI registry with number 1942202783 assigned on August 2005. The practitioner's primary taxonomy code is 213E00000X with license number POD000466 (GA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1942202783
Provider Name
CHARLES FRANCIS FENTON III DPM
Gender
Male
Entity Type
Individual
Location Address
5505 PEACHTREE DUNWOODY RD NE SUITE 420 ATLANTA, GA 30342
Location Phone
(404) 843-0090
Location Fax
(404) 843-1008
Mailing Address
5505 PEACHTREE DUNWOODY RD NE SUITE 420 ATLANTA, GA 30342
Mailing Phone
(404) 843-0090
Mailing Fax
(404) 843-1008
Is Sole Proprietor?
No
Enumeration Date
08-11-2005
Last Update Date
01-14-2011
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A podiatrist like Charles Fenton provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
POD000466
License State
GA
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP71MEDICARE ID-TYPE UNSPECIFIED (04)GA 
T97570MEDICARE UPIN (02)GA 

Medicare Participation & PECOS Enrollment Status

Charles Fenton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 41 times for 34 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 65 times for 43 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 16 times for 16 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 25 times for 22 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30342 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.85
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $17.71
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CHARLES FRANCIS FENTON III DPM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1942202783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982404716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 0 + 4 + 7 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1942202783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619973815DR. JAMES JORDAN WELLMAN M.D.
Individual
Internal Medicine (Pulmonary Disease)5505 PEACHTREE DUNWOODY RD NE STE 380
ATLANTA, GA 30342
(404) 257-0080
1427050491 JOHN D HENRY JR. MD
Individual
Orthopaedic Surgery5505 PEACHTREE DUNWOODY RD NE STE 600
ATLANTA, GA 30342
(404) 355-0743
1952303992 DANIEL HAL SILCOX III MD
Individual
Orthopaedic Surgery5505 PEACHTREE DUNWOODY RD NE SUITE 650
ATLANTA, GA 30342
(404) 355-0743
1922000991 ANUJ GUPTA MD
Individual
Orthopaedic Surgery5505 PEACHTREE DUNWOODY RD NE STE 600
ATLANTA, GA 30342
(404) 355-0743
1689676439 HEATHER HALL MORSE DPM
Individual
Podiatrist5505 PEACHTREE DUNWOODY RD NE SUITE 420
ATLANTA, GA 30342
(404) 843-0090
1154323830 IRVING HOWARD MILLER DPM
Individual
Podiatrist5505 PEACHTREE DUNWOODY RD NE SUITE 420
ATLANTA, GA 30342
(404) 843-0090
1538161120 RAYMOND JOSEPH NOONAN JR. DPM
Individual
Podiatrist5505 PEACHTREE DUNWOODY RD NE SUITE 420
ATLANTA, GA 30342
(404) 843-0090
1760474639 DAVID ARLEN SCHIFF MD
Individual
Physical Medicine & Rehabilitation5505 PEACHTREE DUNWOODY RD NE SUITE 705
ATLANTA, GA 30342
(404) 355-0743
1891774956 DEANNE M UNGER NP, RNC, MN
Individual
Nurse Practitioner5505 PEACHTREE DUNWOODY RD NE SUITE 230
ATLANTA, GA 30342
(404) 497-1830
1699755769 DONNA K SMYTH P.A.
Individual
Physician Assistant5505 PEACHTREE DUNWOODY RD NE SUITE 230
ATLANTA, GA 30342
(404) 497-1830
1265412860 GARY S FIGIEL M.D.
Individual
Psychiatry & Neurology (Psychiatry)5505 PEACHTREE DUNWOODY RD NE SUITE 230
ATLANTA, GA 30342
(404) 497-1830
1104890417MARIO RAVRY, M.D., LLC
Organization
Internal Medicine5505 PEACHTREE DUNWOODY RD NE SUITE 650
ATLANTA, GA 30342
(404) 459-9340
1922072321MR. MARIO EURICO RAVRY M.D.
Individual
Internal Medicine5505 PEACHTREE DUNWOODY RD NE SUITE 650
ATLANTA, GA 30342
(404) 459-9340
1669448221DR. OBINWANNE FIDELIS C UGWONALI MD
Individual
Orthopaedic Surgery (Hand Surgery)5505 PEACHTREE DUNWOODY RD NE SUITE 600
ATLANTA, GA 30342
(404) 355-0743
1245295823ATLANTA SURGERY CENTER, LTD
Organization
Clinic/Center (Ambulatory Surgical)5505 PEACHTREE DUNWOODY RD NE SUITE 150
ATLANTA, GA 30342
(404) 847-0893
1689639825DR. SCOTT D PENNINGTON MD
Individual
Orthopaedic Surgery5505 PEACHTREE DUNWOODY RD NE SUITE 600
ATLANTA, GA 30342
(404) 355-0743
1144265406 PAUL C. AJAMIAN O.D.
Individual
Optometrist5505 PEACHTREE DUNWOODY RD NE STE 300
ATLANTA, GA 30342
(404) 257-0814
1790713931 LAWRENCE WOODARD M.D.
Individual
Ophthalmology5505 PEACHTREE DUNWOODY RD NE SUITE 300
ATLANTA, GA 30342
(404) 257-0814
1447288246 DOUGLAS G. DAY M.D.
Individual
Ophthalmology5505 PEACHTREE DUNWOODY RD NE STE 300
ATLANTA, GA 30342
(404) 257-0814
1033144241 EZEQUIEL HERNAN CASSINELLI M.D.
Individual
Orthopaedic Surgery5505 PEACHTREE DUNWOODY RD NE SUITE 600
ATLANTA, GA 30342
(404) 355-0743

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942202783, enumerated in the NPI registry as an "individual" on August 11, 2005

The provider is located at 5505 Peachtree Dunwoody Rd Ne Suite 420 Atlanta, Ga 30342 and the phone number is (404) 843-0090

The provider's speciality is Podiatrist with taxonomy code 213E00000X

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $70.85 and an average copayment of 17.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes and X-ray of foot, minimum of 3 views.

This NPI record was last updated on August 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.