Individual provider Active NPI

John Andrew Martucci, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1083111207
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001519 Issued in GA
Practice address
120 Vann St NE Ste 100
Marietta, GA 30060-7310
Phone
(678) 679-5234
Fax
(770) 218-8135
NPI assigned
Apr 13, 2018
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001519 GA Primary

Addresses

Primary practice location

120 Vann St NE Ste 100
Marietta, GA 30060-7310

Mailing address

120 Vann St NE Ste 100
Marietta, GA 30060-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720002512 GA Practitioner - Podiatry 8729488143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Practice addresses (Care Compare)

120 Vann St NE
Suite 100
Marietta, GA 30060-7310
Phone (678) 574-0861

132 Riverstone Ter
Suite 101
Canton, GA 30114-1703
Phone (678) 880-0036

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue43
Removal of skin lesions1-10
Removal of nail tissue232
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group LLC Foot & Ankle Surgery CurrentSince Sep 6, 2022 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group II, LLC. Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group, L.L.C. CurrentSince Sep 6, 2022 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

132 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (678) 880-0036

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

120 Vann St NE
Ste 100
Marietta, GA 30060
Phone (678) 574-0861

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

Interoperability endpoints

  • Direct secure messaging: john.martucci.1@4399.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1083111207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607310",
            "fax_number": "833-378-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607310",
            "telephone_number": "678-679-5234",
            "fax_number": "770-218-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.