HARRY M LIGHTFOOT (MD) – Surgery Physician, NPI 1205848272

HARRY M LIGHTFOOT (MD) is a healthcare provider. based in Austell, Georgia. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 200201117 (NC). The NPI Number for HARRY M LIGHTFOOT (MD) is 1205848272

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
HARRY M LIGHTFOOT (MD)
NPI
1205848272
Phone
(770) 944-7818
Address
1700 HOSPITAL SOUTH DR
Enumeration Date
11 August 2006
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6783540230
Graduation Year
1999 (27 years ago)
PAC ID
8325047756
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20080610000453
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for HARRY M LIGHTFOOT (MD)

  • 1700 HOSPITAL SOUTH DR

    SUITE 202

    AUSTELL, GA 301066810

    Phone: (770) 944-7818

    Type: Mailing

  • 11394 Liberty St

    Fulton, MD 207592509

    Phone: (301) 485-9585

    Fax: (866) 525-8997

    Type: Location

  • 3080 HIGHLANDS PKWY SE

    SMYRNA, GA 300825181

    Phone: (404) 445-8887

    Fax: (866) 525-8997

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $12,450.

Total Amount is formed as General ($12,450) + Research ($0) + Ownership ($0) = $12,450.

Last reported payment date: 2023-04-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($12,450).

Total Amount

$12,450

General + Research + Ownership

Payments

6

Total payment records

General Amount

$12,450

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$12,450
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080610000453IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do payers reference HARRY M LIGHTFOOT (MD)?
For HARRY M LIGHTFOOT (MD), use NPI 1205848272 as the unique 10-digit identifier.
Would HARRY M LIGHTFOOT (MD) appear as active to a payer?
You can treat HARRY M LIGHTFOOT (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HARRY M LIGHTFOOT (MD)?
HARRY M LIGHTFOOT (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with HARRY M LIGHTFOOT (MD)?
Directory geography for HARRY M LIGHTFOOT (MD) centers on Austell, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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