Edward Joseph Lopez, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000814 Issued in GA

Practice address

705 17TH St
Columbus, GA 31901-3500

Phone

(706) 322-7884

Fax

(706) 243-4355

NPI assigned

Sep 27, 2006

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, CA2 enrollments

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 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.lopez@gadirect.net
• Direct secure messaging: edward.lopez@sfhga.gadirect.net

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• St Francis Affiliated Services LLC

  dba St Francis Columbus Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1912371220
  Medicare reassignment NPD
• Columbus Clinic, P.C.

  • Clinic/Center
  • Columbus, GA
  • NPI 1609863133
  NPD
• Mac - Macon Road LLC

  • Clinic/Center
  • Columbus, GA
  • NPI 1053599043
  NPD
• St Francis Affiliated Services LLC

  dba St. Francis Columbus Specialty Clinic

  • Internal Medicine Physician
  • Columbus, GA
  • NPI 1598130932

  Podiatrist

  NPD
• St Francis Affiliated Services LLC

  dba Midtown Acute Care

  • Urgent Care Clinic/Center
  • Columbus, GA
  • NPI 1821462136
  NPD
• St Francis Columbus Clinic LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1295159143
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Columbus Foot & Ankle PC

  • Podiatrist
  • Columbus, GA
  • NPI 1932281797
  NPD (past)
• Foot & Ankle of West Georgia, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Columbus, GA
  • NPI 1841404480
  NPD (past)
• Foot & Ankle Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Columbus, GA
  • NPI 1457387771
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1194816140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9247",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089247",
            "telephone_number": "706-322-7884",
            "fax_number": "706-243-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 17TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013500",
            "telephone_number": "706-322-7884",
            "fax_number": "706-243-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "246",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1541",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E-3603",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "Corporate Center Pkwy",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiara Long
• William Gregory Long, DMD
• Leslie Dawn Longstreth
• Michael Lopes, RBT
• Daysaundra Renea Lopez, RBT
• James Irvine Lopez, DDS, MS, MS
• Sheri Denise Lopez, M.D.
• Resa A Lord, CPNP
• Lorena Thomas Counseling Coaching & Consulting
• Fallon E Lotson, PA-C

• Podiatrist in Columbus, GA
• Providers in Columbus, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.