PODIATRY GROUP OF GEORGIA, INC (NPI# 1811291149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811291149 |
| Entity Type | Organization |
| Organization Name | PODIATRY GROUP OF GEORGIA, INC |
| Practice Address |
3901 Roswell Rd 340 Marietta GA 30062-6250 |
| Mailing Address |
4880 Lower Roswell Rd Suite 165 Pmb 150 Marietta GA 30068-4375 |
| Practice Telephone | 4048063731 |
| Practice Fax Number | 7703210001 |
| Mailing Telephone | 4048063731 |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | DR. TAMMY KATHRYN GEPHART (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 40408063731 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001122 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3901 ROSWELL RD 340 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912996422 | Lawrence Steven Weiss | Otolaryngology | 3901 Roswell Rd, Ste 225, Marietta, GA 30062-8816 | 2005-10-18 |
| 1518224997 | Family Chiropractic Office | Chiropractor | 3901 Roswell Rd, Ste 208, Marietta, GA 30062-8809 | 2012-04-23 |
| 1871859967 | Kenneth Christopher Haider-bardill | Counselor | 3901 Roswell Rd, Suite 210, Marietta, GA 30062-8809 | 2012-04-03 |
| 1619286952 | Merchants Walk Wellness Center | Chiropractor | 3901 Roswell Rd, Suite 208, Marietta, GA 30062-8809 | 2010-10-05 |
| 1457583841 | Desiree H Lazzara | Chiropractor | 3901 Roswell Rd, Suite 208, Marietta, GA 30062-8809 | 2009-08-18 |
| 1154553725 | Lifetime Wellness LLC | Chiropractor | 3901 Roswell Rd, Suite 208, Marietta, GA 30062-8809 | 2009-08-17 |
| 1245474220 | Vicki Bunke | Psychologist | 3901 Roswell Rd, Suite 210, Marietta, GA 30062-8809 | 2009-04-22 |
| 1891939807 | Elizabeth Yeager Turner | Psychologist | 3901 Roswell Rd, Suite 210, Marietta, GA 30062-8809 | 2009-04-22 |
| 1609017649 | Leah Marie Ferris-yankus | Psychologist | 3901 Roswell Rd, Suite 210, Marietta, GA 30062-8809 | 2009-03-22 |
| 1043466451 | Amanda Simone Friedhoff | Chiropractor | 3901 Roswell Rd, Suite 208, Marietta, GA 30062 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194184879 | Sequioa Ducasse | Podiatrist | 2550 Windy Hill Rd Se Ste 206, Marietta, GA 30067-8654 | 2016-02-23 |
| 1578946745 | Neha Delvadia | Podiatrist | 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 | 2015-07-06 |
| 1447653761 | Marie-christine Bergeron | Podiatrist | 3225 Shallowford Rd Ste 200, Marietta, GA 30062-1288 | 2014-10-01 |
| 1578856902 | Irene Cristina Verlezza | Podiatrist | 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 | 2011-05-18 |
| 1811019730 | Vivian Chizorom Iwu | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2007-04-03 |
| 1700981057 | Nathan Harold Schwartz | Podiatrist | 792 Church St Ne Ste 102, Marietta, GA 30060 | 2006-09-13 |
| 1497740229 | Mathew M. John | Podiatrist | 2790 Sandy Plains Rd, Suite 300, Marietta, GA 30066-4378 | 2005-09-19 |
| 1427055805 | Mark R. Light | Podiatrist | 4439 Roswell Rd, Marietta, GA 30062-6452 | 2005-06-30 |
| 1043827280 | Choice Podiatry Center, Inc. | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2020-09-30 |
| 1730721408 | Krishna Podiatry Group of Georgia | Podiatrist | 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 | 2019-10-14 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.