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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: November 08, 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 and is a graduate of Temple University School Of Podiatric Medicine (2023).

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
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2023
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5496219107
PECOS Enrollment IDI20260714002848
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Minetola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Village Podiatry Group II, LLC.
6.8 mi
Foot & Ankle Surgery
2045 PEACHTREE ROAD NE, SUITE 810
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1427540699 (404) 446-1890
Village Podiatry Group, L.L.C.
11 mi
Podiatrist
1350 UPPER HEMBREE RD STE 100
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Village Podiatry Group LLC
  • 69 clinicians in this Medicare group
NPI 1508846718 (678) 426-2171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

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.

Which organizations bill Medicare for Tyler Minetola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Minetola reassigns Medicare benefits to 2 organizations: Village Podiatry Group II, LLC. (Atlanta, GA) and Village Podiatry Group, L.L.C. (Roswell, GA). Each 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 Tyler Minetola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.