MEDICARE: BARRETT PARKWAY FOOT AND LEG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	GA000961	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689671273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRETT PARKWAY FOOT AND LEG

Provider Business Mailing Address
First Line	:	440 ERNEST W BARRETT PKWY NW
Second Line	:	STE 62
City	:	KENNESAW
State	:	GA
Zip	:	30144-4918
Country	:	US
Telephone Number	:	770-042-2028
Fax Number	:	770-426-5388

Provider Business Practice Location Address
First Line	:	440 ERNEST W BARRETT PKWY NW
Second Line	:	STE 62
City	:	KENNESAW
State	:	GA
Zip	:	30144-4918
Country	:	US
Telephone Number	:	770-042-2028
Fax Number	:	770-426-5388

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	DR. MICHAEL WADE DIXON
Credential	:	DPM
Telephone Number	:	770-422-0280

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	01/14/2014

Similar Medicare Providers

1073195780 — GA DOCTORS OF OPTOMETRY LLC
Practice Location Address:

440 ERNEST W BARRETT PKWY NW STE 21
KENNESAW, GA
30144-4918

Practice Phone: 770-429-1660
Practice Fax: 770-429-5509

1477557924 — DR. MICHAEL WADE DIXON DPM
Practice Location Address:

440 ERNEST W BARRETT PKWY NW , STE 62
KENNESAW, GA
30144-4918

Practice Phone: 770-422-0280
Practice Fax: 770-426-5388

1447245204 — KATEN MANAGEMENT CORPORATION
Practice Location Address:

440 ERNEST W BARRETT PKWY NW , SUITE 15
KENNESAW, GA
30144-4918

Practice Phone: 770-499-9426
Practice Fax: 770-499-9427

1275642498 — WIM LIPPERS
Practice Location Address:

440 ERNEST W BARRETT PKWY NW , STE 58
KENNESAW, GA
30144-4918

Practice Phone: 770-425-2440
Practice Fax:

1174600431 — LINDA CLINTON
Practice Location Address:

440 ERNEST W BARRETT PKWY NW STE 58
KENNESAW, GA
30144-4918

Practice Phone: 770-425-2440
Practice Fax:

1508986126 — DR. PETER JOHN POMAZON D.M.D.
Practice Location Address:

440 ERNEST W BARRETT PKWY NW , SUITE 29
KENNESAW, GA
30144-4918

Practice Phone: 770-427-6000
Practice Fax:

Directions to “BARRETT PARKWAY FOOT AND LEG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.