Individual provider Active NPI

Craig Sun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lagrange, GA
National Provider Identifier
1316937451
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001009 Issued in GA
Practice address
1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132
Phone
(706) 845-9370
Fax
(706) 845-9371
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001009 GA Primary

Addresses

Primary practice location

1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132

Mailing address

1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132
Phone (706) 845-9370

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
I20040922001023 GA Practitioner - Podiatry 3577531995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

1975 Hwy 54 W
Peachtree City, GA 30269-4794

5335 Old National Hwy
Atlanta, GA 30349-3203
Phone (404) 768-3668

624 Newnan St
Carrollton, GA 30117-3429
Phone (770) 838-4151

Hospital & facility affiliations

  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue74
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
620COMDAddiction (Substance Use Disorder) Counselor
POD001009GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2011 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2011 Accepting new patients
Foot Associates PC Foot & Ankle Surgery PastSince Oct 23, 2016 Accepting new patients
Nassau Advanced Foot & Ankle, a Professional Limited Liability Company Foot & Ankle Surgery Past Accepting new patients
Washington Foot and Ankle Sports Medicine PLLC PastSince Jan 1, 2003 Accepting new patients
Ankle and Foot Center of Georgia,LLC Past Accepting new patients
Sharon Quach DPM PC Foot & Ankle Surgery Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1615
Atlanta, GA 30308
Phone (404) 230-5622

3425 Buford Dr
Ste 350
Buford, GA 30519
Phone (470) 589-1617

624 Newnan St
Carrollton, GA 30117
Phone (770) 834-6669

265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600

2326 Highway 34 E
Ste 200
Newnan, GA 30265
Phone (678) 561-9000

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668

1767 Rock Quarry Rd
Stockbridge, GA 30281
Phone (770) 474-4395

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1316937451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.