Lagrange Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAGRANGE INTERNAL MEDICINE, PC

Practice address

1602 Vernon Rd
Suite 400
Lagrange, GA 30240-4129

Phone

(706) 882-9341

Fax

(706) 884-0131

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Audra Dean

Title

Office Manager

Phone

(706) 298-2654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: kelly.morgan@gadirect.net
• Direct secure messaging: richard.ingram@lim.gadirect.net
• Direct secure messaging: amir.usman@gadirect.net
• Direct secure messaging: kenneth.gordon@gadirect.net
• Direct secure messaging: amir.usman@lim.gadirect.net
• Direct secure messaging: richard.ingram@gadirect.net
• Direct secure messaging: kelly.morgan@lim.gadirect.net
• Direct secure messaging: arnold.smalls@lim.gadirect.net
• Direct secure messaging: kenneth.gordon@lim.gadirect.net
• Direct secure messaging: robert.stout@gadirect.net
• Direct secure messaging: robert.stout@lim.gadirect.net
• Direct secure messaging: arnold.smalls@gadirect.net

Practitioners 9

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

• Syed Abuzar Waseem Ahmed

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1144470840
  Medicare reassignment Care Compare group NPD
• Mohd Khairul Anam, M.D.

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1356354500
  Medicare reassignment Care Compare group NPD
• Brett Askins, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1902471782
  Medicare reassignment Care Compare group NPD
• Richard L Ingram, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1629072699
  Medicare reassignment Care Compare group NPD
• Amir Usman, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1255333456
  Medicare reassignment Care Compare group NPD
• Kenneth D Gordon, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1871549204
  Medicare reassignment Care Compare group
• Arnold Smalls, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1396747598
  Medicare reassignment Care Compare group
• Robert M Stout, MD

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1427050632
  Medicare reassignment Care Compare group
• Kelly Dianne Morgan, NP-C

  • Primary Care Nurse Practitioner
  • Lagrange, GA
  • NPI 1346538733
  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1831267632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 400",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-882-9341",
            "fax_number": "706-884-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 VERNON RD",
            "address_2": "SUITE 400",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404129",
            "telephone_number": "706-882-9341",
            "fax_number": "706-884-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-298-2654"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lagrange Eye, LLC
• Lagrange Family Counseling, LLC
• Lagrange Family Dental Center
• Lagrange Family Medicine
• Lagrange Foot Clinic PC
• Lagrange Med Center, LLC
• Lagrange Neurology Corporation
• Lagrange Obstetrics & Gynecology
• Lagrange Operations LLC
• Lagrange Primary Care PC

• Internal Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.