Individual provider Active NPI

Jay Moritz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dalton, GA
National Provider Identifier
1891798435
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD305042 Issued in GA
Practice address
1505 Professional CT
Dalton, GA 30720-2500
Phone
(706) 259-6882
Fax
(706) 259-3786
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD305042 GA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004679R PA

Addresses

Primary practice location

1505 Professional CT
Dalton, GA 30720-2500

Mailing address

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, TN, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090302000630 PA Practitioner - Podiatry 0244272813 Reassigns benefits to 1 organization
I20181024003169 NY Practitioner - Podiatry 0244272813 Reassigns benefits to 1 organization
I20250122002887 TN Practitioner - Podiatry 0244272813 Reassigns benefits to 2 organizations
I20250128003161 GA Practitioner - Podiatry 0244272813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

1505 Professional CT
Dalton, GA 30720-2500
Phone (706) 259-6882

4308 Brainerd Rd
Chattanooga, TN 37411-5424
Phone (423) 698-1966

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue114
Removal of skin lesions31
Removal of nail tissue423
Removal or shaving of skin growth45
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD305042GAMDFoot & Ankle Surgery Podiatrist
SC004679RPAMDFoot & Ankle Surgery Podiatrist
974TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot Care LLP Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
OB-GYN Associates of Erie, PC Foot & Ankle Surgery CurrentSince Mar 1, 2024 Accepting new patients
Village Podiatry Group II, LLC. Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 15, 2025 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Advanced Foot Care, LLP CurrentSince Jan 1, 2025 Accepting new patients
Village Podiatry Group, L.L.C. CurrentSince Feb 1, 2025 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

2368 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (423) 698-1966

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

5035 Peach St
Erie, PA 16509
Phone (814) 480-7789

4308 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 698-1966

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1720 Gunbarrel Rd
Ste 204
Chattanooga, TN 37421
Phone (423) 533-8556

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: jmoritz43266@hhcs.direct-ci.com
  • Direct secure messaging: jay.moritz.1@4399.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1891798435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202500",
            "telephone_number": "706-259-6882",
            "fax_number": "706-259-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PROFESSIONAL CT",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202500",
            "telephone_number": "706-259-6882",
            "fax_number": "706-259-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "JAY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD305042",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004679R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.