Organization Active NPI

Lagrange Med Center, LLC

  • Family Medicine Physician
  • Lagrange, GA
National Provider Identifier
1043318355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024497 Issued in GA
Legal business name
LAGRANGE MED CENTER, LLC
Practice address
309 Vernon St
Lagrange, GA 30240-3162
Phone
(706) 885-9110
Fax
(706) 885-9113
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Ronald Solt, M.D.NPI 1780782078
Title
President/Ceo
Phone
(706) 885-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 024497 GA Primary

Addresses

Primary practice location

309 Vernon St
Lagrange, GA 30240-3162

Mailing address

309 Vernon St
Lagrange, GA 30240-3162
Phone (706) 885-9110

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0963764Lagrange Med Center309 Vernon Street, Lagrange, GA 30240Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Locations

309 Vernon St
Lagrange, GA 30240
Phone (706) 885-9110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13107/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043318355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 VERNON ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403162",
            "telephone_number": "706-885-9110",
            "fax_number": "706-885-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 VERNON ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403162",
            "telephone_number": "706-885-9110",
            "fax_number": "706-885-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE MED CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-885-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.