Individual provider Active NPI

Hoang Tran Lafayette, D.P.M.

  • Podiatrist
  • Albany, GA
National Provider Identifier
1245324615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000760 Issued in GA
Practice address
2600 W Doublegate Dr
Albany, GA 31721-9234
Phone
(229) 436-3056
Fax
(229) 436-3056
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000760 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

Other identifiers 1

IdentifierTypeStateIssuer
00670183BMedicaidGA

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
I20120509000414 GA Practitioner - Podiatry 2769643683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 E Washington Ave
Ashburn, GA 31714-5315
Phone (229) 567-3407

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions57
Removal of nail tissue1629
Removal or shaving of skin growth509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000760GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Foot & Leg Specialist PC CurrentSince Oct 24, 1996 Accepting new patients

Locations

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245324615",
    "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": "229-436-3056"
        },
        {
            "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": "229-436-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAYETTE",
        "first_name": "HOANG",
        "middle_name": "TRAN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00670183B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.