NPI age
19 years
Enumerated 2006-09-15
● Active
Type 1 · Individual
Mickey Dwight Stapp, D.P.M.
Stapp is 1 of 4 podiatrist providers in Thomson and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
150 Main St
Thomson, GA 308242662
Mailing address
150 Main St
Thomson, GA 308242662
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | GDP728 | SOUTH CAROLINA MEDICAID |
| 01 (GA) | 2700036 | UNITED HEALTHCARE |
| 05 (GA) | 000660635H | |
| 01 (GA) | 555655 | BCBS OF GEORGIA |
| 05 (SC) | GPD728 | |
| 05 (GA) | 000660635R | |
| 05 (GA) | 000660635J | |
| 01 (GA) | 575733 | AETNA HMO |
| 01 (GA) | 480032189 | RAILROAD MEDICARE |
| 01 (GA) | 5106049 | AETNA PPO |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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