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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER MINETOLA DPM
NPI 1649956095
Podiatrist - Foot & Ankle Surgery in Sandy Springs, GA

Active since June 22, 2023PECOS Enrolled
5445 MERIDIAN MARK RD STE 390, SANDY SPRINGS, GA 30342(404) 237-3668(404) 237-9562 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2026, Jun 22, 2023 (2 updates tracked since 2023).

About Tyler Minetola Dpm NPPES

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

TYLER MINETOLA DPM (NPI 1649956095) is an individual foot & ankle surgery provider in Sandy Springs, Georgia, licensed in Georgia (POD305089) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649956095
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTYLER MINETOLACredential: DPM
Location Address5445 MERIDIAN MARK RD STE 390Sandy Springs, GA 30342-4755
Mailing Address4101 Charlotte Ave Ste F185Nashville, TN 37209-4066
Phone(404) 237-3668
Fax(404) 237-9562
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1649956095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in GA · POD305089
Also ListedPodiatristTaxonomy 213E00000X · License POD305089 (GA)
5445 MERIDIAN MARK RD STE 390, Sandy Springs, GA 30342
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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 (PECOS)

Tyler Minetola Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

BRENT BLANCK-SINGER DPM
Podiatrist
5445 MERIDIAN MARK RD STE 390
ATLANTA, GA 30342
Fulton County (404) 237-3668
LINSEY ANDREWS DPM
Podiatrist
5445 MERIDIAN MARK RD STE 390
ATLANTA, GA 30342
Fulton County (404) 237-3668
STUART M. TUCK D.P.M.
Podiatrist
5445 MERIDIAN MARK RD STE 390
ATLANTA, GA 30342
Fulton County (404) 237-3668
SHANEA MONIQUE NESBIT
Registered Nurse (Critical Care Medicine)
5445 MERIDIAN MARK RD STE 390
ATLANTA, GA 30342
Fulton County (850) 485-8244

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 Tyler Minetola's NPI number?

The NPI number for Tyler Minetola is 1649956095. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Tyler Minetola located?

Tyler Minetola practices at 5445 Meridian Mark Rd Ste 390, Sandy Springs, GA 30342. The listed phone number is (404) 237-3668.

What is Tyler Minetola's specialty?

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

Is Tyler Minetola enrolled in Medicare?

Yes. Tyler Minetola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Minetola was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.