Individual provider Active NPI

Irene Cristina Verlezza, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1578856902
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001256 Issued in GA
Practice address
1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403
Phone
(770) 971-9820
Fax
(770) 971-9822
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 POD001256 GA Primary

Addresses

Primary practice location

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

Mailing address

1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403
Phone (770) 971-9820

Other practice location 1

1121 Johnson Ferry Rd
Suite 215
Marietta, GA 30068-5425
Phone (770) 971-9820

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
I20141003000339 GA Practitioner - Podiatry 5395965933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Podiatry-East CobbGroup PAC ID 5991952913, 2 clinicians

Practice addresses (Care Compare)

1200 Johnson Ferry Rd
Suite 150
Marietta, GA 30068-2707
Phone (770) 971-9820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal of nail tissue197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Podiatry-East Cobb Foot & Ankle Surgery CurrentSince Sep 15, 2014 Accepting new patients

Locations

1200 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 693-0700

1121 Johnson Ferry Rd
Ste 215
Marietta, GA 30068
Phone (770) 591-3960

Organizations & group practices 1

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1578856902",
    "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": "770-971-9820",
            "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": "770-971-9820",
            "fax_number": "770-971-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Johnson Ferry Rd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685425",
            "country_code": "US",
            "telephone_number": "770-971-9820",
            "fax_number": "770-971-9822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERLEZZA",
        "first_name": "IRENE",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.