Individual provider Active NPI

Eileen Byrd, DPM

  • Foot Surgery Podiatrist
  • Lawrenceville, GA
National Provider Identifier
1346324662
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD000786 Issued in GA
Practice address
601 Old Norcross Rd Ste B
Lawrenceville, GA 30046-4311
Phone
(770) 910-9554
Fax
(770) 910-9553
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X POD000786 GA Primary

Addresses

Primary practice location

601 Old Norcross Rd Ste B
Lawrenceville, GA 30046-4311

Mailing address

1410 Charter Oaks LN
Lawrenceville, GA 30046-3324
Phone (678) 860-9862

Other practice location 1

1136 Cleveland Ave
Suite 305
East Point, GA 30344-3618
Phone (404) 762-9221

Other identifiers 1

IdentifierTypeStateIssuer
000739131FMedicaidGA

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
I20060407000444 GA Practitioner - Podiatry 9032128772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 Cleveland Ave
Suite 305
East Point, GA 30344-3618
Phone (404) 762-9221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue515
Removal or shaving of skin growth257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen Byrd, DPM PC Foot Surgery CurrentSince Aug 30, 2002 Accepting new patients

Locations

1136 Cleveland Ave
Ste 305
East Point, GA 30344
Phone (404) 669-9669

601 Old Norcross Rd
Ste B
Lawrenceville, GA 30046
Phone (678) 407-4489

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346324662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CHARTER OAKS LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463324",
            "telephone_number": "678-860-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD NORCROSS RD STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464311",
            "telephone_number": "770-910-9554",
            "fax_number": "770-910-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 Cleveland Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303443618",
            "country_code": "US",
            "telephone_number": "404-762-9221",
            "fax_number": "404-762-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000739131F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.