Individual provider Active NPI

John C Haight, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, GA
National Provider Identifier
1154941714
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
890 Issued in TN
Practice address
132 Riverstone Ter Ste 101
Canton, GA 30114-1703
Phone
(678) 880-0036
NPI assigned
Apr 23, 2020
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001457 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 890 TN Primary

Addresses

Primary practice location

132 Riverstone Ter Ste 101
Canton, GA 30114-1703

Mailing address

132 Riverstone Ter Ste 101
Canton, GA 30114-1703

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
I20220325000173 GA Practitioner - Podiatry 9032540281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Practice addresses (Care Compare)

1100 Johnson Ferry Rd
Suite 375
Marietta, GA 30068-2765
Phone (770) 273-8895

132 Riverstone Ter
Suite 101
Canton, GA 30114-1703
Phone (678) 880-0036

550 Peachtree Nest
Suite 1960
Atlanta, GA 30308-2225
Phone (404) 589-1330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions12
Removal of nail tissue905
Removal or shaving of skin growth148
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Podiatry Group CurrentSince Apr 1, 2022 Accepting new patients
Cobb Foot & Leg Surgical Center, LLC Current Accepting new patients
Village Podiatry Group II, LLC. Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Marietta Podiatry Group Foot & Ankle Surgery CurrentSince Apr 1, 2022 Accepting new patients
Village Podiatry Group, L.L.C. CurrentSince Aug 28, 2023 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Foot & Ankle Surgery CurrentSince Aug 28, 2023 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

132 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (678) 880-0036

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1100 Johnson Ferry Rd
Ste 375
Marietta, GA 30068
Phone (770) 273-8895

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: john.haight.1@4399.direct.athenahealth.com

Organizations & group practices 7

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 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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1154941714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141703",
            "telephone_number": "678-880-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001457",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.