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

Dr. Trevor Beach, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1790072247

Dr. Trevor Beach, DPM is a Podiatry in Marietta, Georgia. Qualified in 2011, 15 years ago. Practices with Premier Podiatry-East Cobb, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
15
Licensed in
GA, IL
In the registry since
2011
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

1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403
Phone: (770) 971-9820
Fax: (770) 971-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 Johnson Ferry Rd, Marietta, GA 30068-5425 — (770) 971-9820

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001255 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 135000748 (IL)

Record details

NPI number1790072247
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESMarch 26, 2018
Mailing address1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Premier Podiatry-East Cobb — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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