Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greg Lifferth, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124552492

Greg Lifferth, DPM is a Podiatry in Dalton, Georgia. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1107 Broadrick Dr
Dalton, GA 30720-2592
Phone: (706) 278-5558
Fax: (706) 278-6334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001463 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124552492
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 13, 2017
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address2601 E. Roosevelt St., Phoenix, AZ 85008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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