Individual Healthcare Provider
Ryan Scott Ellsworth, DPM
Provider's NPPES record last updated: June 17, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104130574
- Primary Specialty
- Podiatrist — Foot Surgery
- Practice Location
- Atlanta, Georgia
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:17 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Foot Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0131X Podiatrist
Podiatric Medicine & Surgery Service Providers
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.
Taxonomy code 213E00000XPodiatrist
Primary Podiatric Medicine
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213EP1101XPodiatrist
Radiology
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ER0200XPodiatrist
Sports Medicine
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0000XPodiatrist
Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0103X
Provider-Reported License Information
- Podiatrist (Utah)
- 8400193-0501
- Podiatrist (Nevada)
- 2109
- Podiatrist (California)
- E5797
- Podiatrist (Florida)
- PO4406
- Podiatrist (Georgia)
- POD001473
- Podiatrist (Utah)
- 8400193-0501
- Podiatrist (Utah)
- 8400193-0501
- Podiatrist (Utah)
- 8400193-0501
- Podiatrist (Utah)
- 8400193-0501
Practice Locations
Practice Location
505 Fairburn Rd Sw Ste 100
Atlanta, Georgia 30331-2012
Phone: (404) 618-6077
Additional Practice Location
4019 W 12600 S
Suite 120
Riverton, Utah 84096
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
3355 N University Ave Ste 175
Provo, Utah 84604-6620
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
227 N Westwood Blvd
Price, Utah 84501-5500
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
2019 E Riverside Dr Ste A101
St George, Utah 84790-8147
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
3130 S Highland Dr Ste B4
Salt Lake City, Utah 84106-3095
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
12780 Race Track Rd Ste 417
Tampa, Florida 33626-1395
Phone: (813) 535-7707
Fax: (801) 253-6888
Additional Practice Location
95 White Sage Ave Ste C
Delta, Utah 84624-5555
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
770 S Highway 99
Fillmore, Utah 84631-5033
Phone: (801) 253-6886
Fax: (801) 253-6888
Additional Practice Location
12523 S Creek Meadow Rd Ste 105
Riverton, Utah 84065-7299
Phone: (801) 253-6886
Fax: (801) 253-6888
Record Information
- Enumeration Date
- July 28, 2010
- Provider's NPPES Record Last Updated
- June 17, 2024
- Certification Date
- June 17, 2024
- NPISignal NPPES Dataset
- August 2026
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