Mark A Lafferty I, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

035676 Issued in GA

Practice address

233 N Houston Rd
Suite 143 H
Warner Robins, GA 31093-3074

Phone

(478) 923-2229

Fax

(888) 456-6653

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Houston Primary Care Physicians LLC

  • Family Medicine Physician
  • Warner Robins, GA
  • NPI 1619314408
  Medicare reassignment NPD
• Houston Primary Care Physicians, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1134840309
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1912940990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "SUITE 143 H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-923-2229",
            "fax_number": "888-456-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD",
            "address_2": "SUITE 143 H",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933074",
            "telephone_number": "478-923-2229",
            "fax_number": "888-456-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "035676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00627305C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koch & Crossley LLC
• Terri Koedam
• Jessica L Krisel, PA
• Kelli Marie Kushinka, NP
• Deserea Ladelfa, BA, PBT(ASCP)
• Lakeview Surgery Center, LLC
• Loc Lam, DO
• Misty Landor, NP-C
• Jennene F Lanier, RRT
• Larry S Goldstein DPM PC

• Obstetrics & Gynecology Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.