Individual provider Active NPI

Scott R Roman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
National Provider Identifier
1952364192
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001026 Issued in GA
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

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
127289526BMedicaidGA
202I489463OtherGAMEDICARE PTAN
127289526CMedicaidGA
127289526DMedicaidGA
127289526EMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000327 GA Practitioner - Podiatry 4082617287 Reassigns benefits to 1 organization

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
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

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 Hospital, Covington, GA, CCN 110018

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of skin lesions1-10
Removal of nail tissue511
Removal or shaving of skin growth226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2011 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.