Active NPI
Joel Lightner, MD
- Diagnostic Radiology Physician
- Newnan, GA
National Provider Identifier
1992724165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 016476
- Practice address
- 60 Hospital Rd
Newnan, GA 30263-1210 - Phone
- (770) 253-2330
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 2, 2010
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 016476 | GA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Newnan, GA 30263-1210
Mailing address
37 Calumet Pkwy
#F-Ste 103
Newnan, GA 30263-6734
Phone (770) 253-3006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00229622A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16476 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Papp Clinic | Current | Accepting new patients | |
| Papp Clinic Laboratory | Past | Accepting new patients |
Locations
15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616
1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1932353042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1992724165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CALUMET PKWY",
"address_2": "#F-STE 103",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302636734",
"telephone_number": "770-253-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631210",
"telephone_number": "770-253-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTNER",
"first_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "016476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00229622A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.