P Praxis·MD
● Active Type 1 · Individual

DR. Dean P Kostakos, D.P.M.

Podiatrist·Roswell, GA· NPI 1417056847 · Enumerated 2006 · 19 years on NPI
Kostakos is 1 of 7 podiatrist providers in Roswell and 1 of 437 in Georgia.
NPI age
19 years
Enumerated 2006-09-22
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 437 active podiatrist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
1380 Upper Hembree Rd
Roswell, GA 300761146
📞 7703467500fax 7703468800
Mailing address
1380 Upper Hembree Rd
Roswell, GA 300761146
📞 7703467500fax 7703468800

Specialties

  • Podiatrist Primary
    A 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...
    GA license #POD000605 taxonomy 213E00000X
  • Podiatrist
    Definition to come...
    GA license #POD000605 taxonomy 213ES0103X

Identifiers

TypeValueNotes
01 (GA) 909671 BLUE CROSS BLUE SHIELD
01 P00166113 RAIL ROAD MEDICARE
01 4407320 AETNA HEALTH PLANS
01 (GA) U28228 COVENTRY

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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