Individual provider Active NPI

Dwayne Lay, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, GA
National Provider Identifier
1356549141
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001230 Issued in GA
Practice address
10515 Bells Ferry Rd Ste 200
Canton, GA 30114-4242
Phone
(770) 765-5828
Fax
(678) 388-0977
NPI assigned
Jul 3, 2007
Last updated
Feb 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X POD001230 GA
Foot & Ankle Surgery Podiatrist 213ES0103X POD001230 GA Primary

Addresses

Primary practice location

10515 Bells Ferry Rd Ste 200
Canton, GA 30114-4242

Mailing address

10515 Bells Ferry Rd Ste 200
Canton, GA 30114-4242
Phone (770) 765-5828

Other identifiers 1

IdentifierTypeStateIssuer
824638527OtherGABCBSGA, UNITED HEALTHCARE, AETNA, HUMANA, CIGNA

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
I20140113000252 GA Practitioner - Podiatry 9739216136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10515 Bells Ferry Rd
Suite 200
Canton, GA 30114-4242
Phone (770) 765-5828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001230GAMDPrimary Podiatric Medicine Podiatrist
01482MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dwayne a Lay LLC Foot & Ankle Surgery CurrentSince Apr 4, 2018 Accepting new patients
Seva Foot and Ankle Center Primary Podiatric Medicine PastSince Jun 23, 2018 Accepting new patients
Podiatry LTD PastSince Jul 1, 1992 Accepting new patients

Locations

10515 Bells Ferry Rd
Ste 200
Canton, GA 30114
Phone (770) 720-8551

210 Oakside Ln
Ste B
Canton, GA 30114
Phone (678) 880-0036

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1356549141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BELLS FERRY RD STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144242",
            "telephone_number": "770-765-5828",
            "fax_number": "678-388-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BELLS FERRY RD STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144242",
            "telephone_number": "770-765-5828",
            "fax_number": "678-388-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD001230",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA, UNITED HEALTHCARE, AETNA, HUMANA, CIGNA",
            "identifier": "824638527",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.