Active NPI
Mark T Messenger, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Thomson, GA
National Provider Identifier
1164414769
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jul 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000713
- Practice address
- 1043 Washington Rd
Thomson, GA 30824-7318 - Phone
- (706) 597-0102
- Fax
- (706) 597-1998
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000713 | GA | Primary |
Addresses
Primary practice location
1043 Washington Rd
Thomson, GA 30824-7318
Mailing address
1043 Washington Rd
Thomson, GA 30824-7318
Phone (706) 597-0102
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000701511E | Medicaid | GA | |
| GRP433 | Medicaid | GA | |
| GRP4355 | Other | GA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD000713 | GA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1164414769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 WASHINGTON RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308247318",
"telephone_number": "706-597-0102",
"fax_number": "706-597-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 WASHINGTON RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308247318",
"telephone_number": "706-597-0102",
"fax_number": "706-597-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSENGER",
"first_name": "MARK",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD000713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000701511E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRP433",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GRP4355",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.