NPI age
12 years
Enumerated 2013-07-01
● Active
Type 1 · Individual
DR. Joseph Distefano, DPM
Distefano is 1 of 29 podiatrist providers in Marietta and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA, MD
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Practice location
3325 Shallowford Rd Ste 200
Marietta, GA 30062
Mailing address
3225 Shallowford Rd Ste 200
Marietta, GA 300621288
Additional practice locations
1 secondary location on file with NPPES.
Location 2
49 Gordon Rd Ste 104
Jasper, GA 301431017
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003258042C |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.