DR. TRACY SMITH MAYBERRY (DPM) – Podiatrist, NPI 1497738413

DR. TRACY SMITH MAYBERRY (DPM) is a healthcare provider. based in East point, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD000763 (GA). The NPI Number for DR. TRACY SMITH MAYBERRY (DPM) is 1497738413

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY SMITH MAYBERRY (DPM)
NPI
1497738413
Phone
(404) 766-6400
Address
1683 WASHINGTON ROAD
Enumeration Date
23 November 2005
Last Update Date
8 February 2021

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
4043647206
Graduation Year
1993 (33 years ago)
PAC ID
2466488879
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20101202000003
Address ID
GA303051729AT3495XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

432 PODIATRY in GA

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Provider Addresses for DR. TRACY SMITH MAYBERRY (DPM)

  • Washington Road, East Point, Fulton County, Georgia, 30349, United States

    EAST POINT, GA 303444265

    Phone: (404) 766-6400

    Fax: (404) 766-6450

    Type: Location

  • 1683 WASHINGTON RD

    EAST POINT, GA 303444265

    Phone: (404) 766-6400

    Fax: (404) 766-6450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($21).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202000003IPodiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0127Trimming of dystrophic nails, any number5218$0
11720Removal of fingernails or toenails, 1-5 nails5018$0
99212Established patient office or other outpatient visit, 10-19 minutes4325$0
11721Removal of fingernails or toenails, 6 or more nails4218$0
11055Removal of noncancer thickened skin growth, 1 growth2812$0
View full utilization report →

Insurance plans in this area (ZIP 30344)

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Provider's Procedures

DR. TRACY SMITH MAYBERRY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA11720Removal of tissue from 1 to 5 finger or toe nails7429

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

Can I verify DR. TRACY SMITH MAYBERRY (DPM) with an NPI only?
You can start verification with NPI 1497738413 for DR. TRACY SMITH MAYBERRY (DPM), then check state licensing separately.
Is DR. TRACY SMITH MAYBERRY (DPM) still practicing?
DR. TRACY SMITH MAYBERRY (DPM) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TRACY SMITH MAYBERRY (DPM)?
For research purposes, treat DR. TRACY SMITH MAYBERRY (DPM) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TRACY SMITH MAYBERRY (DPM)?
DR. TRACY SMITH MAYBERRY (DPM)'s geographic hint is East Point, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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