TRACY SMITH MAYBERRY NPI 1659416071

NPI Information

  • NPI: 1659416071
  • Provider Name: TRACY SMITH MAYBERRY
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: A PLUS FAMILY FOOT AND LEG CARE SPECIALISTS
  • Address: 1683 WASHINGTON ROAD
    EAST POINT, GA
    ZIP 30344
  • Phone: (404) 766-6400

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NPI Details

TRACY SMITH MAYBERRY is a podiatrist in East Point, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. TRACY SMITH MAYBERRY NPI is 1659416071. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As A Plus Family Foot And Leg Care Specialists.

The provider's business location address is:

1683 WASHINGTON ROAD
EAST POINT, GA
ZIP 30344-265
Phone: (404) 766-6400
Fax: (404) 766-6450

The provider's authorized official is Tracy Smith Mayberry .
The authorized official title is Owner/podiatrist and has the following contact phone number (404) 766-6400.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist000763GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000672119FMEDICAIDGEORGIA
2480028687OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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