Individual provider Active NPI

Stephan J Lapointe, DPM/PHD

  • Podiatrist
  • Rome, GA
National Provider Identifier
1013006618
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000831 Issued in GA
Practice address
1100 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone
(706) 232-3888
Fax
(877) 795-8359
NPI assigned
Oct 12, 2006
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000831 GA Primary

Addresses

Primary practice location

1100 Martha Berry Blvd NE
Rome, GA 30165-1612

Mailing address

409 W 10TH St NE
Rome, GA 30165-2640
Phone (706) 232-3888

Other identifiers 2

IdentifierTypeStateIssuer
00955721DMedicaidGA
00955721GMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Rome Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000027 GA Practitioner - Podiatry 0042106544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

409 W 10TH St NE
Rome, GA 30165-2640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of skin lesions104
Removal of nail tissue163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000831GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Foot & Ankle Specialists Podiatrist CurrentSince Nov 1, 2003 Accepting new patients
Mindset for Prosperity LLC CurrentSince Apr 26, 2023 Accepting new patients
Marietta Podiatry Group Podiatrist Past Accepting new patients
Medici Surgical Center, LLC Past Accepting new patients

Locations

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

1100 Martha Berry Blvd NE
Rome, GA 30165
Phone (706) 232-3888

409 W 10th St NE
Rome, GA 30165
Phone (706) 232-3888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8922/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1013006618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652640",
            "telephone_number": "706-232-3888",
            "fax_number": "706-232-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-232-3888",
            "fax_number": "877-795-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPOINTE",
        "first_name": "STEPHAN",
        "middle_name": "J",
        "credential": "DPM/PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955721D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955721G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Rome",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Martha Berry Blvd NE",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.