Premier Podiatry-East Cobb

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PREMIER PODIATRY-EAST COBB

Practice address

1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403

Phone

(770) 693-0700

Fax

(770) 971-9822

NPI assigned

Jul 7, 2012

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trevor R Beach, DPMNPI 1790072247

Title

Physician/Owner

Phone

(770) 971-9820

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor Beach, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
  • NPI 1790072247
  Medicare reassignment Care Compare group NPD Authorized official
• Irene Cristina Verlezza, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
  • NPI 1578856902
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1396000279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHNSON FERRY RD STE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685403",
            "telephone_number": "770-693-0700",
            "fax_number": "770-971-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHNSON FERRY RD STE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685403",
            "telephone_number": "770-693-0700",
            "fax_number": "770-971-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY-EAST COBB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "770-971-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Billing & Collections
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• Premier Neurosurgical Institute, LLC
• Premier Spa & Wellness
• Premiere Medical Company, Inc.
• Premise Health of Georgia Medical PC (City of Marietta)
• Premise Health of Georgia Medical, P.C. (The Wellness Center Operated by Premise Health Marietta North)
• Premise Health of Georgia Medical, P.C. (The Wellness Center Operated by Premise Health Marietta South)

• Foot & Ankle Surgery Podiatrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.