NPI age
20 years
Enumerated 2005-06-30
● Active
Type 1 · Individual
DR. Mark R. Light, DPM
Light is 1 of 29 podiatrist providers in Marietta and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
4439 Roswell Rd
Marietta, GA 300626452
Mailing address
4439 Roswell Rd
Marietta, GA 300626452
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000467618B | |
| 01 (GA) | 3026473 | AETNA HMO |
| 01 (GA) | 005480 | BCBS |
| 01 (GA) | 4137290 | AETNA PPO |
| 01 (GA) | 480034802 | RAILROAD MEDICARE |
| 01 (GA) | 4830810001 | DMERC |
| 01 (GA) | 412063128 | TAX ID # |
| 01 (GA) | REF000049272 | PEACHCARE MEDICARE |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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 provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.