MICKEY DWIGHT STAPP D.P.M. NPI 1023114238

NPI Information

  • NPI: 1023114238
  • Provider Name: MICKEY DWIGHT STAPP, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 MAIN ST
    THOMSON, GA
    ZIP 30824
  • Phone: (762) 994-0904

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NPI Details

Mickey Dwight Stapp, D.P.M. is a foot and ankle surgery podiatrist in Thomson, GA. Mickey Dwight Stapp, D.P.M. NPI is 1023114238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 MAIN ST
THOMSON, GA
ZIP 30824-662
Phone: (762) 994-0904
Fax: (762) 994-0906

The NPI 1023114238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i (HCPCS:G0247)
  • Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) (HCPCS:G0246)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Correction of toe joint deformity (HCPCS:28285)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Incision of joint capsule of foot and toe (HCPCS:28270)
  • Correction of bunion with midfoot and hindfoot bone fusion (HCPCS:28297)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/15/2006 and was last updated on 8/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD000728GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GDP728OTHERSOUTH CAROLINASOUTH CAROLINA MEDICAID
22700036OTHERGEORGIAUNITED HEALTHCARE
3000660635HMEDICAIDGEORGIA
4555655OTHERGEORGIABCBS OF GEORGIA
5GPD728MEDICAIDSOUTH CAROLINA
6000660635RMEDICAIDGEORGIA
7000660635JMEDICAIDGEORGIA
8575733OTHERGEORGIAAETNA HMO
9480032189OTHERGEORGIARAILROAD MEDICARE
105106049OTHERGEORGIAAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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