P Praxis·MD
● Active Type 2 · Organization

East Cobb Foot & Ankle Care P.c.

Podiatrist·Marietta, GA· NPI 1184770133 · Enumerated 2007 · 19 years on NPI
East Cobb Foot & Ankle Care P.c. is 1 of 397 podiatrist organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-25
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Light
Owner
Last NPPES update
2009-05-29
Source: monthly bulk 2026-05

How this organization compares

Across 397 active podiatrist providers in Georgia.

NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4439 Roswell Rd
Marietta, GA 300626452
📞 7709778221fax 7709778222
Mailing address
4439 Roswell Rd
Marietta, GA 300626452
📞 7709778221fax 7709778222

Authorized official

Mark R. Light, DPM
Owner
📞 7709778221

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #630 taxonomy 213ES0103X

Identifiers

TypeValueNotes
01 (GA) 005480 BCBS
05 (GA) 000467618B
01 480034802 RAILROAD MEDICARE

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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