Healthcare Provider Details

I. General information

NPI: 1801939293
Provider Name (Legal Business Name): GEORGIA FOOT & ANKLE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MARTHA BERRY BLVD NE
ROME GA
30165-1612
US

IV. Provider business mailing address

409 W 10TH ST NE
ROME GA
30165-2640
US

V. Phone/Fax

Practice location:
  • Phone: 706-232-3888
  • Fax: 877-795-8359
Mailing address:
  • Phone: 706-232-3888
  • Fax: 706-232-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License NumberPOD000831
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPOD000831
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberPOD000831
License Number StateGA

VIII. Authorized Official

Name: DR. STEPHAN JOSEPH LAPOINTE
Title or Position: OWNER
Credential: DPM
Phone: 706-232-3888