Individual provider Active NPI

Troy E Skidmore, D.O.

  • Orthopaedic Surgery Physician
  • Albany, GA
National Provider Identifier
1104870997
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34008539 Issued in OH
Practice address
2709 Meredyth Dr
Ste 450
Albany, GA 31707-0222
Phone
(229) 446-1990
Fax
(229) 312-5005
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34008539 OH Primary

Addresses

Primary practice location

2709 Meredyth Dr
Ste 450
Albany, GA 31707-0222

Mailing address

2709 Meredyth Dr
Ste 450
Albany, GA 31707-0222
Phone (229) 446-1990

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000246 GA Practitioner - Orthopedic SurgeryPractitioner - Pathology 6204863582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

2709 Meredyth Dr
Suite 450
Albany, GA 31707-0220
Phone (229) 446-1990

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Albany, GA, CCN 117141
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Infectious Disease CurrentSince Apr 1, 2011 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Apr 1, 2011 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
MSM Partnership Past Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
Marietta Memorial Hospital Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

2709 Meredyth Dr
Ste 450
Albany, GA 31707
Phone (229) 446-1990

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • Direct secure messaging: troy.skidmore.1@8478.direct.athenahealth.com
  • Direct secure messaging: troy.skidmore@phoebehealth.gadirect.net

Organizations & group practices 8

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

Hospital & facility affiliations 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1104870997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "STE 450",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-446-1990",
            "fax_number": "229-312-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "STE 450",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-446-1990",
            "fax_number": "229-312-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "TROY",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34008539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.