Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joseph Distefano, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1013357383

Dr. Joseph Distefano, DPM is a Podiatry in Marietta, Georgia. Graduated from Temple University School of Medicine in 2013, 13 years ago. Practices with Foot and Ankle Reconstruction of Georgia PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
13
Trained at
Temple University School of Medicine
Licensed in
GA, MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3325 Shallowford Rd Ste 200
Marietta, GA 30062
Phone: (770) 999-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 49 Gordon Rd Ste 104, Jasper, GA 30143-1017 — (770) 999-0804

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001323 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 01669 (MD)

Record details

NPI number1013357383
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address3225 Shallowford Rd Ste 200, Marietta, GA 30062-1288

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Foot And Ankle Reconstruction Of Georgia Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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