Individual provider Active NPI

William Schneider, M.D.

  • Forensic Psychiatry Physician
  • Villa Rica, GA
National Provider Identifier
1023273109
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
040779 Issued in GA
Practice address
101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255
Phone
(770) 812-3530
Fax
(770) 812-3531
NPI assigned
Jul 28, 2008
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 040779 GA Primary

Addresses

Primary practice location

101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255

Mailing address

101 Quartz Dr Ste 103B
Villa Rica, GA 30180-3201
Phone (770) 812-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000627 GA Practitioner - Psychiatry 3870651144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
TMC-Behavioral Health of West GeorgiaGroup PAC ID 2163714635, 37 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 103B
Villa Rica, GA 30180-3201
Phone (770) 812-3580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TMC-Behavioral Health of West Georgia CurrentSince Aug 1, 2019 Accepting new patients
Dekalb Community Service Board PastSince Mar 29, 2017 Accepting new patients
The Family Center of Georgia, Inc. Past Accepting new patients

Locations

101 Quartz Dr
Ste 103
Villa Rica, GA 30180

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1023273109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 103B",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803201",
            "telephone_number": "770-812-3530",
            "fax_number": "770-812-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803255",
            "telephone_number": "770-812-3530",
            "fax_number": "770-812-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "040779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.