Organization Active NPI

Lafayette Foot & Leg Specialist PC

  • Primary Podiatric Medicine Podiatrist
  • Albany, GA
National Provider Identifier
1164797221
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD000760 Issued in GA
Legal business name
LAFAYETTE FOOT & LEG SPECIALIST PC
Practice address
2600 W Doublegate Dr
Albany, GA 31721-9234
Phone
(229) 436-3056
Fax
(229) 346-3056
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Hoang LafayetteNPI 1245324615
Title
Podiatrists-D.P.M.
Phone
(229) 436-3056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X POD000760 GA Primary

Addresses

Primary practice location

2600 W Doublegate Dr
Albany, GA 31721-9234

Mailing address

2600 W Doublegate Dr
Albany, GA 31721-9234
Phone (229) 436-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000393 GA Part B Supplier - Clinic/Group Practice 6901067826 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1164797221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W DOUBLEGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219234",
            "telephone_number": "229-436-3056",
            "fax_number": "226-436-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W DOUBLEGATE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219234",
            "telephone_number": "229-436-3056",
            "fax_number": "229-346-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE FOOT & LEG SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "LAFAYETTE",
        "authorized_official_first_name": "HOANG",
        "authorized_official_title_or_position": "PODIATRISTS-D.P.M.",
        "authorized_official_telephone_number": "229-436-3056",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.