National Provider Identifier Database

TRACY S MAYBERRY, DPM – NPI #1497738413
Podiatrist

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.


Contact Information

TRACY S MAYBERRY, DPM
1683 WASHINGTON RD
EAST POINT, GA30344-4265
Phone: 404-766-6400
Fax: 404-766-6450
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Primary Podiatric Medicine 213EP1101X
Radiology 213ER0200X
Sports Medicine 213ES0000X
Surgery, Foot 213ES0131X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for TRACY S MAYBERRY

NPI Number 1497738413
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/23/2005
Last updated 02/08/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 000763
  • GA License #: POD000763
  • GA Medicaid: 000672119F
  • GA Other: 480028687 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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