P Praxis·MD
● Active Type 1 · Individual

DR. Trevor Beach, DPM

Podiatrist·Marietta, GA· NPI 1790072247 · Enumerated 2011 · 14 years on NPI
Beach is 1 of 29 podiatrist providers in Marietta and 1 of 397 in Georgia.
NPI age
14 years
Enumerated 2011-07-06
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-26
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
14 years
≈ at median (15 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
1200 Johnson Ferry Rd Ste 150
Marietta, GA 300685403
📞 7709719820fax 7709719822
Mailing address
1200 Johnson Ferry Rd Ste 150
Marietta, GA 300685403
📞 7709719820fax 7709719822

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1121 Johnson Ferry Rd, Suite 215
Marietta, GA 300685425
📞 7709719820

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001255IL license #135000748 taxonomy 213ES0103X

Practice context

Part of a multi-provider practice. 2 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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