Active NPI
Larry S Goldstein, DPM
- Podiatrist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD000722
- Practice address
- 1200 Russell Pkwy
Warner Robins, GA 31088-5540 - Phone
- (478) 328-2008
- Fax
- (478) 918-0276
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000722 | GA | |
| Podiatrist | 213E00000X | POD000722 | GA | Primary |
Addresses
Primary practice location
1200 Russell Pkwy
Warner Robins, GA 31088-5540
Mailing address
900 Circle 75 Pkwy SE Ste 900
Atlanta, GA 30339-3084
Phone (678) 426-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00686472 | Other | GA | RAILROAD MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190814003813 | GA | Practitioner - Podiatry | 9133292725 | Practice locations: Warner Robins, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Russell Pkwy
Warner Robins, GA 31088-5540
Phone (478) 328-2008
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
Hospital & facility affiliations
- Enhabit Home Health
- Emory Houston Hospital Warner Robins
- Atrium Health Navicent the Medical Center
- Northside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 64 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000722 | GA | MD | Surgery Physician |
| POD000722 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry S Goldstein DPM PC | Podiatrist | Current | Accepting new patients |
| Comprehensive Foot and Ankle Center,LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1200 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 328-2008
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDAIBD/Endpoint/GDAIBD
- larry.goldstein@wrfa.eclinicaldirectplus.com
- larry.goldstein@oconeeregional.gadirect.net
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.
-
- Podiatrist
- Warner Robins, GA
- NPI 1790338333
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Foot & Ankle Surgery Podiatrist
- Warner Robins, GA
- NPI 1023285996
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1972584977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE STE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393084",
"telephone_number": "678-426-2171",
"fax_number": "404-446-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 RUSSELL PKWY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885540",
"telephone_number": "478-328-2008",
"fax_number": "478-918-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "LARRY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "000722",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD000722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00686472",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.