NPI age
18 years
Enumerated 2007-12-04
● Active Type 2 · Organization
The Widen Clinic
The Widen Clinic is 1 of 437 podiatrist organizations in Georgia.
Primary specialty
Podiatrist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Widen
Director
Last NPPES update
2007-12-04
Source: monthly bulk 2026-05
How this organization compares
Across 437 active podiatrist providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3535 Roswell Rd, Ste. 37
Marietta, GA 300628826
Mailing address
3535 Roswell Rd, Ste. 37
Marietta, GA 300628826
Authorized official
Eric Daniel Widen, DPM,DC
Director
📞 7705781400
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Kiran Bandali, O.D. Optometrist NPI 1952750309
- Hank Bradford, D.M.D. Dentist NPI 1205053188
- Daniel Brunner, M.D., D.D.S. Oral & Maxillofacial Surgery NPI 1457672958
- Denise Hall, DMD, MS, LLC Dentist NPI 1700947132
- Susan Reilly, D.D.S Dentist NPI 1609950757
- Thomas Reilly, D.D.S. Dentist NPI 1447334586
- John Schad, D.C. Chiropractor NPI 1922168046
- Hetal Shah, MD Pediatrics NPI 1881603512
- Keiko Sweigart Massage Therapist NPI 1124300629
- Kevin Vinzani, D.C. Chiropractor NPI 1609947415
- Trish Vinzani, D.C Chiropractor NPI 1205907011
Specialties
-
Podiatrist PrimaryA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
-
ChiropractorA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP6040 | MEDICARE GROUP NUMBER |
Practice context
Multi-provider organization. 11 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.