John Cook Bartlett, M.D., M.P.H.
Individual provider Active NPI Psychiatry Physician · Atlanta, GA
NPI 1104232008 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1104232008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 45393 (GA)
- Practice address
- 187 12TH St NE
Atlanta, GA 30309-4055 - Phone
- (404) 873-6664
- Fax
- (404) 873-0418
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45393 | GA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 45393 | GA | Yes |
Addresses
Primary practice location
187 12TH St NE
Atlanta, GA 30309-4055
Mailing address
187 12TH St NE
Atlanta, GA 30309-4055
Phone (404) 873-6664
Other providers in Atlanta, GA
- Virgil Anthony William Bartels IV
- Justin Antonio Barthel
- Jacqueline Marie Bartholomew
- Jennifer Frisco Bartl
- Alexandria Bartlett
- Andrew Carson Bartley
- Jade Bartley
- William Bartley II
- Courtney Rose Bartlone
- Christi Lyn Bartolomucci
All providers in Atlanta, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.