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SERENITY PODIATRY AND MED SPA LLC
NPI 1033741632
Podiatrist - Primary Podiatric Medicine in Roswell, GA

Active since February 11, 2020
770 OLD ROSWELL PL STE A300, ROSWELL, GA 30076(347) 281-2620 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Feb 11, 2020 (2 updates tracked since 2020).

About Serenity Podiatry And Med Spa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY PODIATRY AND MED SPA LLC (NPI 1033741632) is a healthcare organization registered as a primary podiatric medicine in Roswell, Georgia and active in the NPI registry since February 2020. The organization lists Sarepta Isaac, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033741632
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameSERENITY PODIATRY AND MED SPA LLC
Location Address770 OLD ROSWELL PL STE A300Roswell, GA 30076-1697
Mailing AddressPo Box 232Alpharetta, GA 30009-0232
Phone(347) 281-2620
Organization SubpartNo
Authorized OfficialSarepta IsaacCeo · (678) 373-3050
Enumeration DateFebruary 11, 2020
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1033741632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
770 OLD ROSWELL PL STE A300, Roswell, GA 30076
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Podiatry And Med Spa LLC's NPI number?

The NPI number for Serenity Podiatry And Med Spa LLC is 1033741632. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is Serenity Podiatry And Med Spa LLC located?

Serenity Podiatry And Med Spa LLC is located at 770 Old Roswell Pl Ste A300, Roswell, GA 30076. The listed phone number is (347) 281-2620.

What is Serenity Podiatry And Med Spa LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Serenity Podiatry And Med Spa LLC was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.