MARIETTA PODIATRY GROUP
NPI 1306960836
Durable Medical Equipment & Medical Supplies in Marietta, GA
About Marietta Podiatry Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIETTA PODIATRY GROUP (NPI 1306960836) is a healthcare organization registered as a durable medical equipment & medical supplies in Marietta, Georgia and active in the NPI registry since March 2007. The organization lists Glyn E. Lewis, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marietta Podiatry Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Marietta Podiatry Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marietta Podiatry Group's NPI number?
The NPI number for Marietta Podiatry Group is 1306960836. It was assigned to this organization in the NPPES registry on March 19, 2007.
Where is Marietta Podiatry Group located?
Marietta Podiatry Group is located at 165 Vann St NE, Marietta, GA 30060. The listed phone number is (770) 422-9856.
What is Marietta Podiatry Group's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Is Marietta Podiatry Group enrolled in Medicare?
Yes. Marietta Podiatry Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marietta Podiatry Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Marietta Podiatry Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Podiatry (3) and Physical Therapist in Private Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Marietta Podiatry Group accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Marietta Podiatry Group 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 Marietta Podiatry Group was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Marietta Podiatry Group · NPI 1306960836
Durable Medical Equipment & Medical Supplies organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1306960836 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Organization subpart:** No
- **Authorized official:** Glyn Lewis, CEO
## Practice location
- **Address:** 165 VANN ST NE, Marietta, GA 30060-7249
- **Phone:** (770) 422-9856 · **Fax:** (770) 984-0303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (3), Physical Therapist in Private Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2012
- **Other identifiers:** Medicare NSC 0940220002 (GA); Medicare NSC 0940220002
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Source: [NPI Profile](https://npiprofile.com/npi/1306960836) · Data from the CMS NPPES public registry.