Individual provider Active NPI

Stephen L Barrett, DPM, FACFAS, MBA

  • Podiatrist
  • Marietta, GA
National Provider Identifier
1174514970
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000822 Issued in GA
Practice address
2520 Windy Hill Rd SE Ste 205
Marietta, GA 30067-8650
Phone
(404) 228-9892
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0924 TX
Podiatrist 213E00000X 0557 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X POD000822 GA
Podiatrist 213E00000X POD000822 GA Primary

Addresses

Primary practice location

2520 Windy Hill Rd SE Ste 205
Marietta, GA 30067-8650

Mailing address

3200 Downwood Cir NW Ste 520a
Atlanta, GA 30327-1610
Phone (404) 228-9892

Other practice location 1

3655 Howell Ferry Rd.
Suite 100
Duluth, GA 30096-3009
Phone (770) 497-8283

Other practice location 2

1650 Mulkey Road
Austell, GA 30106-6831
Phone (770) 941-3633

Other practice location 3

3200 Downwood Cir NW Ste 520A
Atlanta, GA 30327-1610
Phone (404) 228-9892

Other practice location 4

792 Church Street NE
Suite #102
Marietta, GA 30060-8954
Phone (678) 574-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
0557AZMDPodiatrist
POD000822GAMDPodiatrist
0924TXMDPodiatrist
924TXMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Medical Consultng, PA Foot & Ankle Surgery Current Accepting new patients
Pain Free, LLC Past Accepting new patients
Stephen L Barrett DPM PA Foot & Ankle Surgery PastSince Sep 1, 2003 Accepting new patients
Advanced Podiatry Group, P. a. Podiatrist Past Accepting new patients

Locations

16601 N 40th St
Ste 110
Phoenix, AZ 85032
Phone (480) 478-0780

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1174514970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 520A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-228-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 205",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678650",
            "telephone_number": "404-228-9892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 Howell Ferry Rd.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963009",
            "country_code": "US",
            "telephone_number": "770-497-8283",
            "fax_number": "770-497-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Mulkey Road",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066831",
            "country_code": "US",
            "telephone_number": "770-941-3633",
            "fax_number": "678-239-0994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Downwood Cir NW Ste 520A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303271610",
            "country_code": "US",
            "telephone_number": "404-228-9892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "792 Church Street NE",
            "address_2": "Suite #102",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608954",
            "country_code": "US",
            "telephone_number": "678-574-0861",
            "fax_number": "770-218-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "DPM, FACFAS, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0924",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0557",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000822",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.