Active NPI
Lagrange Foot Clinic PC
- Podiatrist
- Lagrange, GA
National Provider Identifier
1053787515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD000502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 DirectoryLocations
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.