Organization Active NPI

Podiatry Group of Georgia, Inc

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1811291149
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001122 Issued in GA
Legal business name
PODIATRY GROUP OF GEORGIA, INC
Practice address
3901 Roswell Rd
340
Marietta, GA 30062-6250
Phone
(404) 806-3731
Fax
(770) 321-0001
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Tammy Kathryn Gephart, D.P.M.
Title
Owner/Physician
Phone
40408063731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001122 GA Primary

Addresses

Primary practice location

3901 Roswell Rd
340
Marietta, GA 30062-6250

Mailing address

4880 Lower Roswell Rd
Suite 165 PMB 150
Marietta, GA 30068-4375
Phone (404) 806-3731

National Provider Directory

National Provider Directory

Locations

3901 Roswell Rd
Ste 340
Marietta, GA 30062
Phone (404) 806-3731

2864 Johnson Ferry Rd
Ste 100
Marietta, GA 30062
Phone (404) 806-3731

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1811291149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LOWER ROSWELL RD",
            "address_2": "SUITE 165 PMB 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684375",
            "telephone_number": "404-806-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626250",
            "telephone_number": "404-806-3731",
            "fax_number": "770-321-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY GROUP OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "GEPHART",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "40408063731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001122",
            "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 Aug 14, 2015; 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.