DWAYNE A LAY LLC (NPI# 1598269714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598269714 |
| Entity Type | Organization |
| Organization Name | DWAYNE A LAY LLC |
| Other Organization Name | ELITE FOOT AND ANKLE |
| Practice Address |
210 Oakside Ln Ste B Canton GA 30114-6417 |
| Practice Telephone | 7707655828 |
| Practice Fax Number | 6783880977 |
| Mailing Telephone | 7707655828 |
| Mailing Fax Number | 6783880977 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DR. DWAYNE A LAY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7707655828 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001230 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE OF GEORGIA | 1598269714 | 01 |
| GA | TRANS AMERICA | 1598269714 | 01 |
| GA | 1598269714 | 05 | |
| GA | AMERIGROUP | 1598269714 | 01 |
| GA | UNITED OF OMAHA | 1598269714 | 01 |
| GA | ANTHEM OF GEORGIA | 1598269714 | 01 |
| GA | GHI | 1598269714 | 01 |
| GA | TRICARE EAST/LIFE/PRIME | 1598269714 | 01 |
| GA | HUMANA | 1598269714 | 01 |
| GA | PEACH STATE GEORGIA | 1598269714 | 01 |
| GA | AETNA | 1598269714 | 01 |
| GA | CARESOURCE | 1598269714 | 01 |
| GA | CHAMPVA | 1598269714 | 01 |
| GA | CIGNA | 1598269714 | 01 |
| GA | UNITEDHEALTHCARE | 1598269714 | 01 |
| GA | RAILROAD MEDICARE | 1598269714 | 01 |
| Other Name | Type Code |
|---|---|
| Elite Foot and Ankle | Doing Business As Name - Organization |
| Street Address |
210 OAKSIDE LN STE B |
| City | CANTON |
| State | GA |
| Zip Code | 30114-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194168195 | Brandon Semma | Podiatrist | 43050 Ford Rd Ste 150, Canton, MI 48187-3359 | 2013-04-10 |
| 1386976744 | Ohio Foot and Ankle Center, LLC | Podiatrist | 4642 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2010-02-09 |
| 1427203413 | Janet H. Baatile-ajrouche | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2008-11-18 |
| 1376616276 | Charles S Yarnevich | Podiatrist | 1548 Fulton Rd Nw, Canton, OH 44703 | 2006-11-16 |
| 1245271493 | Gary M Greger Dpm Inc | Podiatrist | 6227 Frank Ave Nw, Canton, OH 44720-8439 | 2006-06-09 |
| 1972576379 | Holcomb's Foot & Leg Clinic of Cumming | Podiatrist | 210 Oakside Lane, Suite B, Canton, GA 30114 | 2006-02-08 |
| 1598755274 | Steven David Gross | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-25 |
| 1922527118 | Northeast Ohio Foot and Ankle Specialists LLC | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 | 2017-09-19 |
| 1689076408 | Ann Arbor Limb Salvage Specialists | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2014-09-24 |
| 1629319207 | Advance Family Foot & Ankle | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2013-03-07 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.