P Praxis·MD
● Active Type 2 · Organization

Premier Podiatry-East Cobb

Podiatrist·Marietta, GA· NPI 1396000279 · Enumerated 2012 · 13 years on NPI
Premier Podiatry-East Cobb is 1 of 397 podiatrist organizations in Georgia.
NPI age
13 years
Enumerated 2012-07-07
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Beach
Physician/owner
Last NPPES update
2024-05-07
Source: monthly bulk 2026-05

How this organization compares

Across 397 active podiatrist providers in Georgia.

NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
1200 Johnson Ferry Rd Ste 150
Marietta, GA 300685403
📞 7706930700fax 7709719822
Mailing address
1200 Johnson Ferry Rd Ste 150
Marietta, GA 300685403
📞 7706930700fax 7709719822

Authorized official

Trevor R Beach, DPM
Physician/owner
📞 7709719820

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Podiatrist Primary
    Definition to come...
    taxonomy 213ES0103X

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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