Organization Active NPI

Georgia Foot & Ankle Specialists

  • Podiatric Clinic/Center
  • Rome, GA
National Provider Identifier
1801939293
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
POD000831 Issued in GA
Legal business name
GEORGIA FOOT & ANKLE SPECIALISTS
Practice address
1100 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone
(706) 232-3888
Fax
(877) 795-8359
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Stephan Joseph Lapointe, DPMNPI 1013006618
Title
Owner
Phone
(706) 232-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X POD000831 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X POD000831 GA
Customized Equipment (DME) 332BC3200X POD000831 GA

Addresses

Primary practice location

1100 Martha Berry Blvd NE
Rome, GA 30165-1612

Mailing address

409 W 10TH St NE
Rome, GA 30165-2640
Phone (706) 232-3888

Other identifiers 1

IdentifierTypeStateIssuer
241085277AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Rome Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000826 GA Part B Supplier - Clinic/Group Practice 9537055033 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA; Cedartown, GA

National Provider Directory

National Provider Directory

Locations

1100 Martha Berry Blvd NE
Rome, GA 30165
Phone (706) 232-3888

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1801939293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652640",
            "telephone_number": "706-232-3888",
            "fax_number": "706-232-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-232-3888",
            "fax_number": "877-795-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LAPOINTE",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-232-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "POD000831",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "POD000831",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "POD000831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241085277A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Rome",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Martha Berry Blvd NE",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.