Organization Active NPI

Lagrange Foot Clinic PC

  • Podiatrist
  • Lagrange, GA
National Provider Identifier
1053787515
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000502 Issued in GA
Legal business name
LAGRANGE FOOT CLINIC PC
Practice address
411 S Greenwood St
Suite a
Lagrange, GA 30240-3183
Phone
(706) 883-6415
Fax
(706) 884-2429
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. John Paul Warrick Jr., D.P.M.
Title
President
Phone
(706) 883-6415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD000502 GA Primary

Addresses

Primary practice location

411 S Greenwood St
Suite a
Lagrange, GA 30240-3183

Mailing address

411 S Greenwood St
Suite a
Lagrange, GA 30240-3183
Phone (706) 883-6415

National Provider Directory

National Provider Directory

Locations

411 S Greenwood St
Lagrange, GA 30240
Phone (706) 402-3525

411 S Greenwood St
Ste A
Lagrange, GA 30240
Phone (678) 800-0099

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1053787515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S GREENWOOD ST",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403183",
            "telephone_number": "706-883-6415",
            "fax_number": "706-884-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S GREENWOOD ST",
            "address_2": "SUITE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403183",
            "telephone_number": "706-883-6415",
            "fax_number": "706-884-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WARRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-883-6415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000502",
            "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 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.