North Fulton Podiatry
NPI 1720260409 · Foot & Ankle Surgery Podiatrist · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Fulton Podiatry is a Foot & Ankle Surgery Podiatrist organization in Roswell, GA (NPI 1720260409).
Provider details
- NPI number
- 1720260409
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Dean Kostakos, Owner(770) 346-7500
- License
- 00605 (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
18 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
- 2007-12-04
- Last updated
- 2007-12-21
Frequently asked questions
- What is North Fulton Podiatry's NPI number?
- North Fulton Podiatry's National Provider Identifier (NPI) is 1720260409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Fulton Podiatry?
- North Fulton Podiatry is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is North Fulton Podiatry located?
- North Fulton Podiatry's practice location on file with NPPES is 1380 Upper Hembree Rd, Roswell, GA 30076-1146.
- What is North Fulton Podiatry's phone number?
- The practice phone number listed in the NPPES registry for North Fulton Podiatry is (770) 346-7500.
- Does North Fulton Podiatry accept Medicare?
- North Fulton Podiatry 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 North Fulton Podiatry?
- The authorized official listed on North Fulton Podiatry's NPPES record is Dean Kostakos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Fulton Podiatry's NPI active?
- Yes — North Fulton Podiatry's NPI (1720260409) is active in the NPPES registry as of the last update on 2007-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.