Individual provider Active NPI

Andy Lafontant, PA-C

  • Physician Assistant
  • East Point, GA
National Provider Identifier
1902901887
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102384 Issued in FL
Practice address
1170 Cleveland Ave
East Point, GA 30344-3615
Phone
(404) 466-1654
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 004404 GA
Physician Assistant 363A00000X PA9102384 FL Primary
Physician Assistant 363A00000X 004404 GA

Addresses

Primary practice location

1170 Cleveland Ave
East Point, GA 30344-3615

Mailing address

195 14TH St NE
Suite 1405
Atlanta, GA 30309-2671
Phone (914) 584-0541

Other names 1

  • Andrew Lafontant Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000560 FL Practitioner - Physician Assistant 4789641663 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007419NYMDMental Health Counselor
004404GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xpedited Health LLC Emergency Medicine CurrentSince Aug 23, 2025 Accepting new patients

Locations

5645 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 345-5644

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1902901887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 14TH ST NE",
            "address_2": "SUITE 1405",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092671",
            "telephone_number": "914-584-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443615",
            "telephone_number": "404-466-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTANT",
        "first_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "004404",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102384",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "LAFONTANT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.