Mickey Dwight Stapp, DPM - Medicare Podiatrist in Thomson, GA

Mickey Dwight Stapp, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Thomson, Georgia. He went to Barry University School Of Podiatric Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Upperline Healthcare Pc, Village Podiatry Group Ii Llc and his current practice location is 150 Main St, Thomson, Georgia. You can reach out to his office (for appointments etc.) via phone at (762) 994-0904.

Mickey Dwight Stapp is licensed to practice in Georgia (license number POD000728) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023114238.

Contact Information

Mickey Dwight Stapp, DPM
150 Main St,
Thomson, GA 30824-2662
(762) 994-0904
(762) 994-0906

Map and Direction




Healthcare Provider's Profile

Full NameMickey Dwight Stapp
GenderMale
SpecialityPodiatry
Experience34 Years
Location150 Main St, Thomson, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mickey Dwight Stapp attended and graduated from Barry University School Of Podiatric Medicine in 1992
  NPI Data:
  • NPI Number: 1023114238
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 08/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951202621
  • Enrollment ID: I20040323000185

Medical Identifiers

Medical identifiers for Mickey Dwight Stapp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023114238NPI-NPPES
GDP728OtherSCSOUTH CAROLINA MEDICAID
2700036OtherGAUNITED HEALTHCARE
000660635HMedicaidGA
555655OtherGABCBS OF GEORGIA
GPD728MedicaidSC
000660635RMedicaidGA
000660635JMedicaidGA
575733OtherGAAETNA HMO
480032189OtherGARAILROAD MEDICARE
5106049OtherGAAETNA PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery POD000728 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doctors HospitalAugusta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upperline Healthcare Pc4385900653135
Village Podiatry Group Ii Llc771921843761

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mickey Dwight Stapp allows following entities to bill medicare on his behalf.
Provider NameAugusta Foot & Ankle, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619185352
PECOS PAC ID: 4981505658
Enrollment ID: O20040115000923
Provider NameVillage Podiatry Group Ii Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427540699
PECOS PAC ID: 7719218437
Enrollment ID: O20191010003075
Provider NameUpperline Healthcare Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1538686498
PECOS PAC ID: 4385900653
Enrollment ID: O20211101002967

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mickey Dwight Stapp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mickey Dwight Stapp, DPM
150 Main St,
Thomson, GA 30824-2662

Ph: (762) 994-0904
Mickey Dwight Stapp, DPM
150 Main St,
Thomson, GA 30824-2662

Ph: (762) 994-0904

Reviews and Comments


Podiatrist in Thomson, GA

Dr. Mark T Messenger, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1043 Washington Rd, Thomson, GA 30824
Phone: 706-597-0102    Fax: 706-597-1998
Dr. George S Havrilla, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 544 W Hill St, Thomson, GA 30824
Phone: 706-595-8787    Fax: 706-595-8757
Jasmine J Strozier, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 150 Main St, Thomson, GA 30824
Phone: 762-994-0904    Fax: 762-994-0906
Thomson Podiatry Associates, Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1043 Washington Rd, Thomson, GA 30824
Phone: 706-597-0102    Fax: 706-597-1998
Mcduffie Podiatry And Wound Care, Pc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 544 W Hill St, Thomson, GA 30824
Phone: 706-595-8787    Fax: 706-595-8757

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.