Active NPI
Podiatry Group of Georgia, Inc
- Foot & Ankle Surgery Podiatrist
- Marietta, GA
National Provider Identifier
1811291149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD001122
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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 DirectoryLocations
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.
-
- Podiatrist
- Brooklyn, NY
- NPI 1407928393
-
- Foot & Ankle Surgery Podiatrist
- Marietta, GA
- NPI 1578946745
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.