Village Podiatry Group LLC
Podiatrist in Marietta, GA. Organization (NPI-2).
NPI number1154028678
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1154028678
- Entity type
- Organization (NPI-2)
- Legal business name
- Village Podiatry Group LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 15, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1100 Johnson Ferry Rd Ste 375Marietta, GA 30068-2765
Phone 770-273-8895
Mailing address
Po Box 108Dallas, GA 30132-0003
Phone 678-426-2171 · Fax 615-269-3087
Authorized official
David N. Helfman
Ceo
6784262171
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