Organization Active NPI

Foot Solutions East Cobb Ga LLC

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
National Provider Identifier
1487464905
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT SOLUTIONS EAST COBB GA LLC
Practice address
4101 Roswell Rd Ste 800
Marietta, GA 30062-6292
Phone
(770) 984-0844
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Taylor Berry
Title
VP of Operations
Phone
(480) 747-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4101 Roswell Rd Ste 800
Marietta, GA 30062-6292

Mailing address

223 Roswell St Ste 202
Alpharetta, GA 30009-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022000181 GA DME Supplier - Pedorthic PersonnelDME Supplier - Certified Orth/Pros/Pedorthist 6507354578 Practice locations: Marietta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Foot Solutions East Cobb Ga LLC4101 Roswell Rd, Marietta, GA 30062-6292(770) 984-0844 Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Aug 14, 2025

National Provider Directory

National Provider Directory

Locations

223 Roswell St
Ste 202
Alpharetta, GA 30009

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1487464905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROSWELL ST STE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ROSWELL RD STE 800",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626292",
            "telephone_number": "770-984-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SOLUTIONS EAST COBB GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "480-747-7778"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.