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

Dr. Mark R. Light, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1427055805

Dr. Mark R. Light, DPM is a Podiatry in Marietta, Georgia. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
37
Licensed in
GA
In the registry since
2005
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

4439 Roswell Rd
Marietta, GA 30062-6452
Phone: (770) 977-8221
Fax: (770) 977-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00630 (GA)

Record details

NPI number1427055805
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESSeptember 13, 2016
Mailing address4439 Roswell Rd, Marietta, GA 30062-6452

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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