Serenity Podiatry and Med Spa LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

SERENITY PODIATRY AND MED SPA LLC

Practice address

770 Old Roswell PL Ste A300
Roswell, GA 30076-1697

Phone

(347) 281-2620

NPI assigned

Feb 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarepta Isaac, DPMNPI 1316387038

Title

Ceo

Phone

(678) 373-3050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarepta Isaac, DPM

  • Podiatrist
  • Matthews, NC
  • NPI 1316387038
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1033741632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OLD ROSWELL PL STE A300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761697",
            "telephone_number": "347-281-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PODIATRY AND MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SAREPTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-373-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Roswell, GA
• Providers in Roswell, GA by specialty
• Primary Podiatric Medicine Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.