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DR. TATYANA DERVIL DPM
NPI 1396525861
Podiatrist in Decatur, GA

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 695-2611 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 25, 2026, Oct 3, 2023 (2 updates tracked since 2023).

About Dr. Tatyana Dervil Dpm NPPES

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

DR. TATYANA DERVIL DPM (NPI 1396525861) is an individual podiatrist in Decatur, Georgia, licensed in Florida (4757) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396525861
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. TATYANA DERVILCredential: DPM
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address3086 Jonesboro StEllenwood, GA 30294-3619
Phone(404) 695-2611
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 3, 2023
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1396525861 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 FL · 4757
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.
1670 CLAIRMONT RD, Decatur, GA 30033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tatyana Dervil Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385119981
PECOS Enrollment IDI20260411000022
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. LAPARISIENNE MOORE-BROWN LMSW
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
BRANDON HAYGOOD
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ARIANNE JAMES
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
KARLA MARIE GARCIA ORTIZ MD
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (044) 680-7354
MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Dekalb County (404) 417-2953
DR. NED WILSON HOLLAND MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Dekalb County (404) 321-6111
MR. ROOSEVELT N/A DAVIS RPH
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CEDRELLA CAROL JONES-TAYLOR M.D.
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033
Dekalb County (404) 321-6111

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 Tatyana Dervil's NPI number?

The NPI number for Tatyana Dervil is 1396525861. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Tatyana Dervil located?

Tatyana Dervil practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 695-2611.

What is Tatyana Dervil's specialty?

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

Is Tatyana Dervil enrolled in Medicare?

Yes. Tatyana Dervil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tatyana Dervil was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.