Individual provider Active NPI

Marshall Todd Herron, DPM

  • Podiatrist
  • Athens, GA
National Provider Identifier
1225003064
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000733 Issued in GA
Practice address
230 Cedar Pointe Dr
Athens, GA 30605-3339
Phone
(706) 549-3668
Fax
(706) 613-5069
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000733 GA Primary

Addresses

Primary practice location

230 Cedar Pointe Dr
Athens, GA 30605-3339

Mailing address

230 Cedar Pointe Dr
Athens, GA 30605-3339
Phone (706) 549-3668

Other identifiers 6

IdentifierTypeStateIssuer
480017437OtherGARAILROAD MEDICARE
000627228BMedicaidGA
6521170OtherGACIGNA
378560OtherGAWELLCARE
10076000OtherGAAMERIGROUP
1015170002OtherGAMEDICARE DMERC

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
I20070416000143 GA Practitioner - Podiatry 5799880084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 Cedar Pointe Dr
Athens, GA 30605-3339
Phone (706) 549-3668

Merit-based Incentive Payment System (MIPS)

Final score
98.24 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of skin lesions405
Removal of nail tissue886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Family Foot Care CurrentSince Jan 1, 1995 Accepting new patients

Locations

1060 Gaines School Rd
Ste B3
Athens, GA 30605
Phone (706) 424-0878

230 Cedar Pointe Dr
Athens, GA 30605
Phone (706) 208-9977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1225003064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CEDAR POINTE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053339",
            "telephone_number": "706-549-3668",
            "fax_number": "706-613-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CEDAR POINTE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053339",
            "telephone_number": "706-549-3668",
            "fax_number": "706-613-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "MARSHALL",
        "middle_name": "TODD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480017437",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000627228B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6521170",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "378560",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10076000",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1015170002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.