Active NPI
Scott R Roman, DPM
- Foot & Ankle Surgery Podiatrist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001026
- Practice address
- 1975 Highway 54 W
Ste 205
Peachtree City, GA 30269-4794 - Phone
- (678) 561-9000
- Fax
- (770) 487-1232
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | POD001026 | GA | Primary |
Addresses
Primary practice location
1975 Highway 54 W
Ste 205
Peachtree City, GA 30269-4794
Mailing address
1975 Hwy 54 W
Ste 205
Peachtree City, GA 30269-4794
Phone (678) 561-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127289526B | Medicaid | GA | |
| 202I489463 | Other | GA | MEDICARE PTAN |
| 127289526C | Medicaid | GA | |
| 127289526D | Medicaid | GA | |
| 127289526E | 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
- Kent State University College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 Milstead Ave NE
Conyers, GA 30012-3864
Phone (770) 483-1100
1975 Hwy 54 W
Peachtree City, GA 30269-4794
3152 Hwy 278 NW
Covington, GA 30014-2304
Phone (678) 342-3088
7130 Mount Zion Blvd
Suite 13
Jonesboro, GA 30236-2566
Phone (770) 478-3668
Hospital & facility affiliations
- Piedmont Newton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.6 of 100
- Quality
- 88.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 55 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 511 |
| Removal or shaving of skin growth | 226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Centers of Georgia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Centers of Georgia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Center of Georgia,LLC | Past | Accepting new patients |
Locations
644 N Chase St
Ste 100
Athens, GA 30601
Phone (770) 487-6716
550 Peachtree St NE
Ste 1615
Atlanta, GA 30308
Phone (404) 230-5622
147 Reinhardt College Pkwy
Ste 10
Canton, GA 30114
Phone (470) 274-7763
1380 Milstead Ave NE
Ste B
Conyers, GA 30012
Phone (770) 483-1100
1380 Milstead Ave NE
Ste E
Conyers, GA 30012
Phone (678) 413-2182
3152 Highway 278 NW
Covington, GA 30014
Phone (678) 342-3088
265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600
555 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (704) 277-1750
2326 Highway 34 E
Newnan, GA 30265
Phone (770) 251-6100
1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000
1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668
5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374
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.
-
- Foot & Ankle Surgery Podiatrist
- Peachtree City, GA
- NPI 1992003479
-
- Foot & Ankle Surgery Podiatrist
- Smyrna, GA
- NPI 1134462591
-
- Podiatrist
- Lagrange, GA
- NPI 1750436127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1952364192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 HWY 54 W",
"address_2": "STE 205",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694794",
"telephone_number": "678-561-9000",
"fax_number": "770-487-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 HIGHWAY 54 W",
"address_2": "STE 205",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694794",
"telephone_number": "678-561-9000",
"fax_number": "770-487-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "SCOTT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD001026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127289526B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I489463",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127289526C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127289526D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127289526E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.