Individual provider Active NPI

James Palmer Branch, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lilburn, GA
National Provider Identifier
1346244985
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000918 Issued in GA
Practice address
4705 Lawrenceville Hwy NW
Suite C
Lilburn, GA 30047-3667
Phone
(770) 921-8800
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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 POD000918 GA Primary

Addresses

Primary practice location

4705 Lawrenceville Hwy NW
Suite C
Lilburn, GA 30047-3667

Mailing address

4705 Lawrenceville Hwy NW
Suite C
Lilburn, GA 30047-3667
Phone (770) 921-8800

Other identifiers 1

IdentifierTypeStateIssuer
000930069KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071231000025 GA Practitioner - Podiatry 9133123276 Reassigns benefits to 1 organization
O20100930096141 GA DME Supplier - Physician - Podiatry 3870673080 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lilburn, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4705 Lawrenceville Hwy NW
Suite C
Lilburn, GA 30047-3667
Phone (770) 921-8800

600 Peachtree Pkwy
Suite 115
Cumming, GA 30041-6899
Phone (770) 886-6833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue275
Removal of nail tissue339
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
918GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Foot & Ankle Foot & Ankle Surgery CurrentSince Sep 1, 2007 Accepting new patients
Anne McNamara DPM PL Foot & Ankle Surgery Past Accepting new patients
Ankle & Foot Center of Tampa Bay Foot & Ankle Surgery Past Accepting new patients

Locations

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

600 Peachtree Pkwy
Ste 115
Cumming, GA 30041
Phone (770) 886-6833

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

4705 Lawrenceville Hwy NW
Ste C
Lilburn, GA 30047
Phone (770) 921-8800

Organizations & group practices 3

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 2

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1346244985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "770-921-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473667",
            "telephone_number": "770-921-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "JAMES",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000930069K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.