BARRETT PARKWAY FOOT AND LEG – Foot & Ankle Surgery Podiatrist, NPI 1689671273

BARRETT PARKWAY FOOT AND LEG is a healthcare provider. based in Kennesaw, Georgia. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. GA000961 (GA). The NPI Number for BARRETT PARKWAY FOOT AND LEG is 1689671273

Main info

Organization
Name
BARRETT PARKWAY FOOT AND LEG
NPI
1689671273
Phone
(770) 042-2028
Address
440 ERNEST W BARRETT PKWY NW
Authorized Official
DR. MICHAEL WADE DIXON PRESIDENT CEO DPM
Enumeration Date
28 June 2005
Last Update Date
14 January 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BARRETT PARKWAY FOOT AND LEG

  • Barrett Parkway, Kennesaw, Cobb, Georgia, 30144, United States

    STE 62

    KENNESAW, GA 301444918

    Phone: (770) 042-2028

    Fax: (770) 426-5388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (647 days ago).

Enrollment records

2

Earliest due date

2024-08-31

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
O20040430000155OClinic/Group PracticeGATBD
O20100930034793OPhysician - PodiatryGA2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30144)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for BARRETT PARKWAY FOOT AND LEG?
BARRETT PARKWAY FOOT AND LEG — NPI 1689671273 — is the standard way to identify this listing.
Is BARRETT PARKWAY FOOT AND LEG listed as active for patients and plans?
The listing shows BARRETT PARKWAY FOOT AND LEG as active in the NPI system.
What is BARRETT PARKWAY FOOT AND LEG best known for clinically?
Directory data describes BARRETT PARKWAY FOOT AND LEG with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for BARRETT PARKWAY FOOT AND LEG?
BARRETT PARKWAY FOOT AND LEG's geographic hint is Kennesaw, Georgia in our summary view.
Why does BARRETT PARKWAY FOOT AND LEG have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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