VILLAGE PODIATRY GROUP, LLC (NPI# 1700117348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700117348 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC |
| Practice Address |
792 Church St Ne Ste 102 Marietta GA 30060-7291 |
| Mailing Address |
900 Circle 75 Pkwy. Suite 900 Atlanta GA 30339-3084 |
| Practice Telephone | 6785740861 |
| Practice Fax Number | 7702188135 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DAVID N. HELFMAN (C.E.O.) |
| Authorized Official Telephone | 7703840284 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTREMITY HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760809 | Village Podiatry Group, LLC | Podiatrist | 583 Highland Xing Ste 130, Ellijay, GA 30540-6403 | 2012-08-28 |
| 1871730754 | Village Podiatry Group, LLC | Podiatrist | 1200 Russell Parkway, Warner Robins, GA 31088-5540 | 2009-01-14 |
| 1861539587 | Village Podiatry Group, LLC | Podiatrist | 2295 Parklake Drive, Ste. 150, Atlanta, GA 30345-2825 | 2007-01-31 |
| 1114010378 | Village Podiatry Group, LLC | Podiatrist | 1198 Buckhead Crossing, Suite D, Woodstock, GA 30189-4257 | 2006-10-02 |
| 1427159615 | Village Podiatry Group, LLC | Podiatrist | 8855 Hospital Dr Ste 150, Douglasville, GA 30134-2267 | 2006-09-26 |
| 1245796523 | Village Podiatry Group, LLC | Clinic/Center | 625 Cook St Ste 617, Royston, GA 30662-3932 | 2019-02-12 |
| 1265952923 | Village Podiatry Group, LLC | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2017-06-23 |
| 1326475773 | Village Podiatry Group, LLC | Podiatrist | 5041 Dallas Hwy, Ste. 101h, Powder Springs, GA 30127-6458 | 2013-10-01 |
| 1306278007 | Village Podiatry Group, LLC | Podiatrist | 620 J L White Dr, Ste. 140, Jasper, GA 30143-4896 | 2013-08-05 |
| 1184061889 | Village Podiatry Group, LLC | Podiatrist | 500 Springhouse Cir, Bldg. 500, Stone Mountain, GA 30087-6741 | 2013-06-04 |
| Street Address |
792 CHURCH ST NE STE 102 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700981057 | Nathan Harold Schwartz | Podiatrist | 792 Church St Ne Ste 102, Marietta, GA 30060 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255525200 | Steven R Downer | Podiatrist | 409 2nd St, Marietta, OH 45750-2157 | 2007-09-04 |
| 1700854825 | Bryan S Russell | Podiatrist | 55 Whitcher St, Ste. 450, Marietta, GA 30060 | 2006-03-14 |
| 1316921240 | Anthony J Gatti | Podiatrist | 792 Church St, Ste 101, Marietta, GA 30060 | 2005-12-05 |
| 1225012156 | Suzanne M Clous | Podiatrist | 3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1266 | 2005-12-05 |
| 1174514970 | Stephen L Barrett | Podiatrist | 2520 Windy Hill Rd Se Ste 205, Marietta, GA 30067-8650 | 2005-10-31 |
| 1790775559 | Stephanie A Michael | Podiatrist | 3515 Dallas Hwy Sw, Marietta, GA 30064-2094 | 2005-10-24 |
| 1710988779 | Allen Lazerson | Podiatrist | 792 Church St Ne, Marietta, GA 30060-8954 | 2005-08-02 |
| 1326446873 | Kinna Ashok Patel | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2014-12-16 |
| 1427453398 | American Professional Associates, LLC | Podiatrist | 165 Vann St Ne, Marietta, GA 30060-7249 | 2014-11-04 |
| 1750724902 | Wellstar Medical Group, LLC | Podiatrist | 55 Whitcher St Ne, Suite 450, Marietta, GA 30060-1155 | 2013-04-08 |
| Find all providers in MARIETTA | ||||
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| 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.