Organization Active NPI

Arthritis and Joint Care of Lagrange

  • Rheumatology Physician
  • Lagrange, GA
National Provider Identifier
1255018784
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ARTHRITIS AND JOINT CARE OF LAGRANGE
Practice address
209 Ridley Ave Ste C
Lagrange, GA 30240-2762
Phone
(706) 350-3765
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Don Nevada Smith
Title
Manager
Phone
(706) 350-3765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

209 Ridley Ave Ste C
Lagrange, GA 30240-2762

Mailing address

209 Ridley Ave Ste C
Lagrange, GA 30240-2762
Phone (706) 350-3765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907000090 GA Part B Supplier - Clinic/Group Practice 6507220746 Receives reassigned benefits from 1 practitioner
Practice locations: Lagrange, GA

National Provider Directory

National Provider Directory

Locations

209 Ridley Ave
Ste C
Lagrange, GA 30240
Phone (706) 350-3765

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": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1255018784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RIDLEY AVE STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402762",
            "telephone_number": "706-350-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RIDLEY AVE STE C",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402762",
            "telephone_number": "706-350-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS AND JOINT CARE OF LAGRANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-350-3765"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.