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PREMIER PODIATRY-EAST COBB
NPI 1396000279
Podiatrist - Foot & Ankle Surgery in Marietta, GA

Active since July 07, 2012
1200 JOHNSON FERRY RD STE 150, MARIETTA, GA 30068(770) 693-0700(770) 971-9822 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Mar 2, 2018 (2 updates tracked since 2018).

About Premier Podiatry-east Cobb NPPES

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

PREMIER PODIATRY-EAST COBB (NPI 1396000279) is a healthcare organization registered as a foot & ankle surgery in Marietta, Georgia and active in the NPI registry since July 2012. The organization lists Trevor R Beach, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1396000279
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePREMIER PODIATRY-EAST COBB
Location Address1200 JOHNSON FERRY RD STE 150Marietta, GA 30068-5403
Mailing Address1200 Johnson Ferry Rd Ste 150Marietta, GA 30068-5403 · (770) 693-0700 · Fax (770) 971-9822
Phone(770) 693-0700
Fax(770) 971-9822
Organization SubpartNo
Authorized OfficialTrevor R BeachPhysician/owner · (770) 971-9820
Enumeration DateJuly 7, 2012
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1396000279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1200 JOHNSON FERRY RD STE 150, Marietta, GA 30068
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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

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.

DR. IRENE CRISTINA VERLEZZA DPM
Podiatrist (Foot & Ankle Surgery)
1200 JOHNSON FERRY RD STE 150
MARIETTA, GA 30068
Cobb County (770) 971-9820
DR. TREVOR BEACH DPM
Podiatrist (Foot & Ankle Surgery)
1200 JOHNSON FERRY RD STE 150
MARIETTA, GA 30068
Cobb County (770) 971-9820

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 Premier Podiatry-East Cobb's NPI number?

The NPI number for Premier Podiatry-East Cobb is 1396000279. It was assigned to this organization in the NPPES registry on July 7, 2012.

Where is Premier Podiatry-East Cobb located?

Premier Podiatry-East Cobb is located at 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068. The listed phone number is (770) 693-0700.

What is Premier Podiatry-East Cobb's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does Premier Podiatry-East Cobb accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premier Podiatry-East Cobb 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 Premier Podiatry-East Cobb was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.