Individual provider Active NPI

Gregory J Kramer, D.P.M.

  • Podiatrist
  • Douglas, GA
National Provider Identifier
1598793283
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000849 Issued in GA
Practice address
204 Westside Dr
Douglas, GA 31533-3528
Phone
(912) 384-4121
Fax
(912) 389-1817
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000849 GA Primary

Addresses

Primary practice location

204 Westside Dr
Douglas, GA 31533-3528

Mailing address

501 W Oneida St
Waycross, GA 31501-5337
Phone (912) 283-6471

Other identifiers 2

IdentifierTypeStateIssuer
000786596AMedicaidGA
P00109469OtherGARAILROAD MEDICARE

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
I20040625000026 GA Practitioner - Podiatry 6507842366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Assoc LLCGroup PAC ID 1355327107, 20 clinicians

Practice addresses (Care Compare)

204 Westside Dr
Douglas, GA 31533-3528
Phone (912) 384-4121

501 W Oneida St
Waycross, GA 31501-5337

501 W Oneida St
Waycross, GA 31501-6209
Phone (912) 283-6471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue114
Removal of skin lesions1-10
Removal of nail tissue241
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000849GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Associates, LLC Podiatrist CurrentSince Apr 1, 2004 Accepting new patients
Ankle and Foot Associates, LLC CurrentSince Apr 1, 2004 Accepting new patients
Ankle & Foot Associates, LLC Past Accepting new patients

Locations

204 Westside Dr
Douglas, GA 31533
Phone (912) 384-4121

175 Perry House Rd
Fitzgerald, GA 31750

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

Interoperability endpoints

  • Direct secure messaging: gregory.kramer@afal.eclinicaldirectplus.com

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1598793283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W ONEIDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015337",
            "telephone_number": "912-283-6471",
            "fax_number": "912-283-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WESTSIDE DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333528",
            "telephone_number": "912-384-4121",
            "fax_number": "912-389-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786596A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00109469",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.