VILLAGE PODIATRY GROUP, P.C. (NPI# 1952604092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952604092 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, P.C. |
| Practice Address |
611 Campbell Hill St Nw Suite 103 Marietta GA 30060-1386 |
| Mailing Address |
900 Circle 75 Pkwy. Ste. 900 Atlanta GA 30339-3084 |
| Practice Telephone | 6785740861 |
| Practice Fax Number | 7703188135 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2011-01-18 |
| 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 | VILLAGE PODIATRY GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407093388 | Village Podiatry Group, P.C. | Podiatrist | 235 Medical Ct., Forsyth, GA 31029-1662 | 2009-01-14 |
| 1811211030 | Village Podiatry Group, P.C. | Podiatrist | 59 Tipton Dr, Dahlonega, GA 30533-1603 | 2010-03-17 |
| 1376779322 | Village Podiatry Group, P.C. | Podiatrist | 960 Johnson Ferry Rd Ne, Suite 310, Atlanta, GA 30342-1631 | 2009-06-04 |
| 1922197813 | Village Podiatry Group, P.C. | Podiatrist | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-10-11 |
| 1528178530 | Village Podiatry Group, P.C. | Podiatrist | 2850 Hog Mountain Rd, Suite 101, Dacula, GA 30019-1012 | 2006-08-30 |
| Street Address |
611 CAMPBELL HILL ST NW SUITE 103 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982798716 | Peter Clifford Shatz | Dentist | 611 Campbell Hill St Nw, Suite 102, Marietta, GA 30060-1386 | 2006-10-03 |
| 1316243389 | Kennestone Periodontics of Marietta, PC | Dentist | 611 Campbell Hill St Nw, Suite 102, Marietta, GA 30060-1386 | 2011-02-08 |
| 1548470321 | David Kurtzman | Dentist | 611 Campbell Hill St Nw, Suite 101, Marietta, GA 30060-1386 | 2007-05-23 |
| 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.