NPI age
11 years
Enumerated 2015-03-05
● Active Type 2 · Organization
Mystic Medical, Llc
Mystic Medical, Llc is 1 of 397 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
Dykes
Admin
Last NPPES update
2025-03-25
Source: monthly bulk 2026-05
How this organization compares
Across 397 active podiatrist providers in Georgia.
NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-03Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
5555 Glenridge Connector, Suite 200
Atlanta, GA 303424759
Mailing address
5555 Glenridge Connector, Suite 200
Atlanta, GA 303424759
Authorized official
Amanda Dykes
Admin
📞 4043510055
Specialties
-
Podiatrist PrimaryDefinition to come...
-
OptometristDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 397 Podiatrist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.