Barrett Parkway Foot and Leg

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

GA000961 Issued in GA

Legal business name

BARRETT PARKWAY FOOT AND LEG

Practice address

440 Ernest W Barrett Pkwy NW
Ste 62
Kennesaw, GA 30144-4918

Phone

(770) 042-2028

Fax

(770) 426-5388

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wade Dixon, DPMNPI 1477557924

Title

President Ceo

Phone

(770) 422-0280

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

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.

• Michael Wade Dixon, DPM

  • Podiatrist
  • Kennesaw, GA
  • NPI 1477557924
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1689671273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ERNEST W BARRETT PKWY NW",
            "address_2": "STE 62",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444918",
            "telephone_number": "770-042-2028",
            "fax_number": "770-426-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ERNEST W BARRETT PKWY NW",
            "address_2": "STE 62",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444918",
            "telephone_number": "770-042-2028",
            "fax_number": "770-426-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT PARKWAY FOOT AND LEG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "770-422-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "GA000961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954643C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Barkum
• Rachel Michelle Willis Barnes, RBT
• Destiny Nicole Barnett
• Jacob Barnette
• Zettia Barney, LPN
• Latoya Tione Barrow, M.S. CCC-SLP
• Walker Barrow, AA
• Christiana Serwaah Bartels, PA-C
• Tao Lanita Bartleson-Mosley, LCSW
• Nicole Bartlett, RBT

• Foot & Ankle Surgery Podiatrist in Kennesaw, GA
• Providers in Kennesaw, 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 Jan 14, 2014; 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.