PREMIER PODIATRY-EAST COBB


Address: 1121 Johnson Ferry Rd, Building 1, Suite 215, Marietta, GA 30068-5425
Phone: 7706930700

PREMIER PODIATRY-EAST COBB (NPI# 1396000279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396000279
Entity Type Organization
Organization Name PREMIER PODIATRY-EAST COBB
Practice Address 1121 Johnson Ferry Rd
Building 1, Suite 215
Marietta
GA 30068-5425
Mailing Address 1200 Johnson Ferry Rd Ste 150
Marietta
GA 30068-5403
Practice Telephone 7706930700
Mailing Telephone 7706930700
Mailing Fax Number 7709719822
Enumeration Date 2012-07-07
Last Update Date 2018-03-02
Authorized Official Name DR. TREVOR R BEACH (PHYSICIAN/OWNER)
Authorized Official Telephone 7709719820
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
GA Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 1121 JOHNSON FERRY RD
BUILDING 1, SUITE 215
City MARIETTA
State GA
Zip Code 30068-5425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932195013 Susan Stephen Glander Obstetrics & Gynecology 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 2005-09-23
1801224167 Roquin Pain Center Clinic/Center 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 2013-10-24
1255776134 Optimal Health Care, LLC Internal Medicine 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 2013-05-06
1215270368 Julie C Tanner Dentist 1121 Johnson Ferry Rd, Suite 450, Marietta, GA 30068-5425 2013-03-27
1447541206 Stephen Mitchell Martin Emergency Medicine 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 2011-04-28
1477866234 Vanessa D Dunn Nurse Practitioner 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 2010-07-22
1376798272 Jennifer Louise Billingsley Dental Assistant 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 2008-11-20
1093981227 Deanna M Fetsch Nurse Practitioner 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 2008-05-07
1821264516 Sharon Lebedin Nurse Practitioner 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 2008-05-02
1750557435 Barbara Cossman Nurse Practitioner 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 2008-05-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1285274480 Cory Plasker Chiropractor 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 2020-01-15
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1417501834 Cornerstone Hospice and Palliative Care of Georgia, LLC Hospice Care, Community Based 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 2019-07-25
1639721038 Cayla Clark Behavior Technician 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 2019-07-15
1467910828 2me Healthcare,llc Home Health 2586 Club Valley Drive Ne, Marietta, GA 30068 2019-03-05
1265912604 Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 2018-08-15
1225514219 Audrey Hughes. Lcsw, LLC Clinic/Center 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 2018-07-13
1316461379 Evan King Registered Nurse 52 Pioneer Trl, Marietta, GA 30068 2017-08-01
1912431867 Anthony Izore Nurse Practitioner 5163 Tall Oak Drive, Marietta, GA 30068 2017-04-18
Find all providers in zip 30068

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194184879 Sequioa Ducasse Podiatrist 2550 Windy Hill Rd Se Ste 206, Marietta, GA 30067-8654 2016-02-23
1578946745 Neha Delvadia Podiatrist 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 2015-07-06
1447653761 Marie-christine Bergeron Podiatrist 3225 Shallowford Rd Ste 200, Marietta, GA 30062-1288 2014-10-01
1578856902 Irene Cristina Verlezza Podiatrist 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 2011-05-18
1811019730 Vivian Chizorom Iwu Podiatrist 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 2007-04-03
1700981057 Nathan Harold Schwartz Podiatrist 792 Church St Ne Ste 102, Marietta, GA 30060 2006-09-13
1497740229 Mathew M. John Podiatrist 2790 Sandy Plains Rd, Suite 300, Marietta, GA 30066-4378 2005-09-19
1427055805 Mark R. Light Podiatrist 4439 Roswell Rd, Marietta, GA 30062-6452 2005-06-30
1043827280 Choice Podiatry Center, Inc. Podiatrist 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 2020-09-30
1730721408 Krishna Podiatry Group of Georgia Podiatrist 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 2019-10-14
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30068

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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