NPIMap

Organization Active NPI

Tracy Smith Mayberry

Doing business as A Plus Family Foot and Leg Care Specialists

  • Podiatrist
  • East Point, GA
National Provider Identifier
1659416071
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000763 Issued in GA
Legal business name
TRACY SMITH MAYBERRY
Doing business as
A Plus Family Foot and Leg Care Specialists
Practice address
1683 Washington Road
East Point, GA 30344-4265
Phone
(404) 766-6400
Fax
(404) 766-6450
NPI assigned
Feb 21, 2007
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Tracy Smith Mayberry, DPMNPI 1497738413
Title
Owner/Podiatrist
Phone
(404) 766-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000763 GA Primary

Addresses

Primary practice location

1683 Washington Road
East Point, GA 30344-4265

Mailing address

1683 Washington Road
East Point, GA 30344-4265
Phone (404) 766-6400

Other names 1

  • A Plus Family Foot and Leg Care Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1683 Washington Rd
East Point, GA 30344
Phone (404) 766-6400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1659416071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 WASHINGTON ROAD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444265",
            "telephone_number": "404-766-6400",
            "fax_number": "404-766-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 WASHINGTON ROAD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444265",
            "telephone_number": "404-766-6400",
            "fax_number": "404-766-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY SMITH MAYBERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "404-766-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Family Foot and Leg Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Plus Family Foot and Leg Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.