Georgia Podiatry, Inc
NPI 1215220090 · Podiatrist · Kennesaw, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Georgia Podiatry, Inc is a Podiatrist organization in Kennesaw, GA (NPI 1215220090).
Provider details
- NPI number
- 1215220090
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Mary Stephens, Practice Manager(678) 310-0540
- License
- 000937 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1599 Mulkey RdAustell, GA 30106-1111Phone: (678) 505-8064Fax: (678) 909-5967
- 1025 E Freeway Dr SeConyers, GA 30094-5965Phone: (770) 929-3338
Registry dates
- Enumerated
- 2011-05-26
- Last updated
- 2022-07-21
- Certified
- 2021-06-09
Frequently asked questions
- What is Georgia Podiatry, Inc's NPI number?
- Georgia Podiatry, Inc's National Provider Identifier (NPI) is 1215220090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Podiatry, Inc?
- Georgia Podiatry, Inc is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Georgia Podiatry, Inc located?
- Georgia Podiatry, Inc's practice location on file with NPPES is 5205 Stilesboro Rd Nw Ste 205, Kennesaw, GA 30152-7765.
- What is Georgia Podiatry, Inc's phone number?
- The practice phone number listed in the NPPES registry for Georgia Podiatry, Inc is (678) 310-0540.
- Does Georgia Podiatry, Inc accept Medicare?
- Georgia Podiatry, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Georgia Podiatry, Inc?
- The authorized official listed on Georgia Podiatry, Inc's NPPES record is Mary Stephens, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Podiatry, Inc's NPI active?
- Yes — Georgia Podiatry, Inc's NPI (1215220090) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.