Active NPI
Derek Martin Lamb, PT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1972838118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008959
- Practice address
- 3650 J Dewey Gray Cir
Augusta, GA 30909-1867 - Phone
- (706) 863-9797
- Fax
- (706) 860-7686
- NPI assigned
- Oct 6, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008959 | GA | Primary |
Addresses
Primary practice location
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Mailing address
PO Box 14039
Augusta, GA 30919-0039
Phone (706) 863-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.48 of 100
- Quality
- 56.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008959 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients |
Locations
811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401
3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797
2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401
Interoperability endpoints
- https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1457389504
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1972838118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14039",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309190039",
"telephone_number": "706-863-9797",
"fax_number": "706-860-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797",
"fax_number": "706-860-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "DEREK",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.