Premier Podiatry-East Cobb
NPI 1396000279 · Foot & Ankle Surgery Podiatrist · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Podiatry-East Cobb is a Foot & Ankle Surgery Podiatrist organization in Marietta, GA (NPI 1396000279).
Provider details
- NPI number
- 1396000279
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Trevor Beach, Physician/Owner(770) 971-9820
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2012-07-07
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Frequently asked questions
- What is Premier Podiatry-East Cobb's NPI number?
- Premier Podiatry-East Cobb's National Provider Identifier (NPI) is 1396000279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Podiatry-East Cobb?
- Premier Podiatry-East Cobb is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Premier Podiatry-East Cobb located?
- Premier Podiatry-East Cobb's practice location on file with NPPES is 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403.
- What is Premier Podiatry-East Cobb's phone number?
- The practice phone number listed in the NPPES registry for Premier Podiatry-East Cobb is (770) 693-0700.
- Does Premier Podiatry-East Cobb accept Medicare?
- Premier Podiatry-East Cobb 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 Premier Podiatry-East Cobb?
- The authorized official listed on Premier Podiatry-East Cobb's NPPES record is Trevor Beach, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Podiatry-East Cobb's NPI active?
- Yes — Premier Podiatry-East Cobb's NPI (1396000279) is active in the NPPES registry as of the last update on 2024-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.