Active NPI
Igor Lacmanovic, M.D.
- Hospitalist Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 059814
- Practice address
- 201 Hospital Rd
Canton, GA 30114-2408 - Phone
- (770) 720-5100
- Fax
- (404) 851-6325
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1730598590
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Austell, GA
- NPI 1619967494
Inpatient rehabilitation facility
-
- Home Health Agency
- Atlanta, GA
- NPI 1952337214
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1790 Mulkey Rd
Austell, GA 30106-1122
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Hospital & facility affiliations
- Interim Healthcare of Atlanta Inc
- Wellstar Cobb Medical Center
- Wellstar Cobb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071012000065 | GA | Practitioner - Hospitalist | 7618063215 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045039 | CT | MD | Internal Medicine Physician |
| 059814 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Hospitalist | Current | Accepting new patients |
| 24 On Physicians, PC | Hospitalist | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Hospitalist | Current | Accepting new patients |
| Cobb Hospital, Inc | Past | Accepting new patients | |
| Mount Lassen Emergency Physicians LLC | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Interoperability endpoints
- ilacmanovic97027@directwellstar.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 045039 | CT | |
| Hospitalist Physician | 208M00000X | 059814 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
201 Hospital Rd
Canton, GA 30114-2408
Mailing address
201 Hospital Rd
Canton, GA 30114-2408
Phone (770) 720-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2017.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1891849352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HOSPITAL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301142408",
"telephone_number": "770-720-5100",
"fax_number": "404-851-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOSPITAL RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301142408",
"telephone_number": "770-720-5100",
"fax_number": "404-851-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACMANOVIC",
"first_name": "IGOR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "045039",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "059814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.