Active NPI
Charles Coy Lassiter, MD
- Pulmonary Disease Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 052984
- Practice address
- 400 Tower Rd NE
Suite 200
Marietta, GA 30060-9411 - Phone
- (770) 514-7550
- Fax
- (770) 514-1390
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 052984 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 052984 | GA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 052984 | GA |
Addresses
Primary practice location
400 Tower Rd NE
Suite 200
Marietta, GA 30060-9411
Mailing address
400 Tower Rd NE
Suite 200
Marietta, GA 30060-9411
Phone (770) 514-7550
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Mercer University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
275 Collier Rd NW
Suite 300
Atlanta, GA 30309-1740
Phone (404) 350-0009
3820 Medical Park Dr
Austell, GA 30106-1110
Phone (770) 948-6041
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Henry Hospital
- Piedmont Mountainside Hospital Inc
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Specialty Hospital Billing LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Healthcare Inc | Current | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1984 Peachtree Rd NW
Ste 205
Atlanta, GA 30309
275 Collier Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 350-0009
3820 Medical Park Dr
Austell, GA 30106
Phone (770) 948-5409
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
400 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 514-7550
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Cardiovascular Disease Physician
- Stockbridge, GA
- NPI 1376624940
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1386671998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TOWER RD NE",
"address_2": "SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609411",
"telephone_number": "770-514-7550",
"fax_number": "770-514-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TOWER RD NE",
"address_2": "SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609411",
"telephone_number": "770-514-7550",
"fax_number": "770-514-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSITER",
"first_name": "CHARLES",
"middle_name": "COY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "052984",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "052984",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "052984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.