MARIETTA PODIATRY GROUP
NPI 1487638318
Clinic/Center - Podiatric in Marietta, GA

Active since December 05, 2005
165 VANN ST NE, MARIETTA, GA 30060(770) 422-9856(770) 984-0303 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marietta Podiatry Group NPPES

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

MARIETTA PODIATRY GROUP (NPI 1487638318) is a healthcare organization registered as a podiatric in Marietta, Georgia and active in the NPI registry since December 2005. The organization lists Glyn E Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487638318
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameMARIETTA PODIATRY GROUP
Location Address165 VANN ST NEMarietta, GA 30060-7249
Mailing Address165 Vann St NeMarietta, GA 30060-7249 · (770) 422-9856 · Fax (770) 984-0303
Fax(770) 984-0303
Organization SubpartNo
Authorized OfficialGlyn E LewisCeo · (770) 422-9856
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 5, 2012
NPI 1487638318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
165 VANN ST NE, Marietta, GA 30060

Other Identifiers 1

Medicare NSC0940220002GA

Other Providers at the Same Location NPPES 9

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

Durable Medical Equipment & Medical Supplies
165 VANN ST NE
MARIETTA, GA 30060
Clinic/Center (Ambulatory Surgical)
165 VANN ST NE
MARIETTA, GA 30060
Podiatrist (Foot & Ankle Surgery)
165 VANN ST NE
MARIETTA, GA 30060
Podiatrist (Foot & Ankle Surgery)
165 VANN ST NE
MARIETTA, GA 30060
Podiatrist
165 VANN ST NE
MARIETTA, GA 30060
Obstetrics & Gynecology
165 VANN ST NE
MARIETTA, GA 30060
Podiatrist (Foot & Ankle Surgery)
165 VANN ST NE
MARIETTA, GA 30060
Clinic/Center
165 VANN ST NE
MARIETTA, GA 30060

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 1487638318. It was assigned to this organization in the NPPES registry on December 5, 2005.

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 Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

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.