Active NPI
Stephen a. Byrne
- Podiatrist
- Canton, GA
National Provider Identifier
1306017728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000515
- Legal business name
- STEPHEN A. BYRNE
- Practice address
- 224 Riverstone Dr
Canton, GA 30114-5256 - Phone
- (770) 479-4011
- Fax
- (770) 809-5011
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen A Byrne, D.P.M.
- Title
- Doctor/Owner
- Phone
- (770) 479-4011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000515 | GA | Primary |
Addresses
Primary practice location
224 Riverstone Dr
Canton, GA 30114-5256
Mailing address
224 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 479-4011
National Provider Directory
National Provider DirectoryLocations
224 Riverstone Dr
Canton, GA 30114
Phone (770) 479-4011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1306017728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-479-4011",
"fax_number": "770-809-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-479-4011",
"fax_number": "770-809-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN A. BYRNE",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "BYRNE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "770-479-4011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "GA",
"license": "000515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.