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GEORGIA PODIATRY, INC
NPI 1215220090
Podiatrist in Kennesaw, GA

Active since May 26, 2011
5205 STILESBORO RD NW STE 205, KENNESAW, GA 30152(678) 310-0540(678) 310-0538 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 9, 2021, Mar 17, 2018 (3 updates tracked since 2018).

About Georgia Podiatry, Inc NPPES

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

GEORGIA PODIATRY, INC (NPI 1215220090) is a healthcare organization registered as a podiatrist in Kennesaw, Georgia and active in the NPI registry since May 2011. The organization maintains 2 additional practice locations and lists Mary J Stephens, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1215220090
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGEORGIA PODIATRY, INC
Location Address5205 STILESBORO RD NW STE 205Kennesaw, GA 30152-7765
Mailing Address5205 Stilesboro Rd., Suite 205Kennesaw, GA 30152-7760 · (678) 310-0540 · Fax (678) 310-0538
Phone(678) 310-0540
Fax(678) 310-0538
Organization SubpartNo
Authorized OfficialMary J StephensPractice Manager · (678) 310-0540
Enumeration DateMay 26, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1215220090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · 000937
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5205 STILESBORO RD NW STE 205, Kennesaw, GA 30152
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Secondary Practice Locations 2

Location 11025 E Freeway Dr SEConyers, GA 30094-5965 · Phone (770) 929-3338
Location 21599 Mulkey RdAustell, GA 30106-1111 · Phone (678) 505-8064 · Fax (678) 909-5967

Other Identifiers 4

Other520666344Bcbs
OtherDR8420Railroad Medicare
Other1215220090Npi
Other1679548168Tricare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN JEANNINE CUPOLO D.P.M.
Podiatrist
5205 STILESBORO RD NW STE 205
KENNESAW, GA 30152
Cobb County (678) 310-0540
EVAN M BRODY DPM
Podiatrist
5205 STILESBORO RD NW STE 205
KENNESAW, GA 30152
Cobb County (678) 310-0540

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 Georgia Podiatry, Inc's NPI number?

The NPI number for Georgia Podiatry, Inc is 1215220090. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is Georgia Podiatry, Inc located?

Georgia Podiatry, Inc is located at 5205 Stilesboro Rd NW Ste 205, Kennesaw, GA 30152. The listed phone number is (678) 310-0540.

What is Georgia Podiatry, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Georgia Podiatry, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Podiatry, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Georgia Podiatry, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.