Active NPI
Larry B Dyal Jr., DPM
- Foot & Ankle Surgery Podiatrist
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000997
- Practice address
- 10 Professional Dr
Brunswick, GA 31520-3774 - Phone
- (912) 265-0709
- Fax
- (912) 264-5712
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD000997 | GA | Primary |
Addresses
Primary practice location
10 Professional Dr
Brunswick, GA 31520-3774
Mailing address
10 Professional Dr
Brunswick, GA 31520-3774
Phone (912) 265-0709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400885615D | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Professional Dr
Brunswick, GA 31520-3774
Phone (912) 265-0709
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Associates, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Associates, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Gary M. Grolemund DPM | Past | Accepting new patients |
Locations
10 Professional Dr
Brunswick, GA 31520
Phone (912) 264-6150
501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Waycross, GA
- NPI 1356492599
-
- Foot & Ankle Surgery Podiatrist
- Brunswick, GA
- NPI 1629447511
-
- Foot & Ankle Surgery Podiatrist
- Orange Park, FL
- NPI 1619444965
-
- Durable Medical Equipment & Medical Supplies
- Brunswick, GA
- NPI 1811170509
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1871581744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PROFESSIONAL DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203774",
"telephone_number": "912-265-0709",
"fax_number": "912-264-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PROFESSIONAL DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203774",
"telephone_number": "912-265-0709",
"fax_number": "912-264-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYAL",
"first_name": "LARRY",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD000997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400885615D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
- Michael J Dunn, M.D.
- Joseph Durant, LMT, BA
- Candice Joy Dutka, FNP-BC
- Dva Healthcare Renal Care Inc (Brunswick Dialysis)
- Dva Healthcare Renal Care Inc (Brunswick South Dialysis)
- Natonya Quenise Early, MSPT,PH.D(C)
- Marie Owsley Easterlin, M.D.
- Nathan Bradley Easterlin, M.D.
- Benjamin Bradley Edgerton, PHARM.D.
- Edward Dipreta MD PC (Brunswick Dermatology and Camden Dermatology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.