Individual provider Active NPI

Roger Allen Hunt Jr., DPM

  • Podiatrist
  • Dalton, GA
National Provider Identifier
1225652456
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001529 Issued in GA
Practice address
1505 Professional CT
Dalton, GA 30720-2500
Phone
(706) 259-6882
Fax
(706) 259-3786
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 POD001529 GA Primary

Addresses

Primary practice location

1505 Professional CT
Dalton, GA 30720-2500

Mailing address

1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929
Phone (678) 426-2171

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
I20220727000575 GA Practitioner - Podiatry 5890177646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Podiatrist CurrentSince Aug 7, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Aug 7, 2022 Accepting new patients

Locations

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

2368 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 698-1966

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: rhunt19659@hhcs.direct-ci.com

Organizations & group practices 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1225652456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760929",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202500",
            "telephone_number": "706-259-6882",
            "fax_number": "706-259-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.