Metro Atlanta: 770.771.6991
Middle Georgia: 478.475.9250
Toll Free: 1.888.488.4728

All Insurance Plans Accepted
Online Bill Pay

Make a Payment

Welcome to our secure online bill payment and thank you for choosing Village Podiatry Centers. Please enter the required information below. The patient account number can be found on your billing statement.
(NOTE: The email field is required to receive an email confirmation receipt.)

Patient Information


 
Patient Account Number:  
Patient Full Name:
Date of Birth(mm/dd/yyyy):
Street:
City:
State:
Zip:
Phone Number:
Email:  
Payment Amount(No dollar sign)$

Payment Information


Pay by  Credit Card  Bank Account

Same as Patient info
Credit Card Info:  
Card Type:  
Card Number:  
Expiration (MMYY):  
Card Security Code / CVV2: [?]
Name On Card:  
Card Billing Address:  
Card Billing Zip:  
 
VISA Mastercard and Discover logos

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