Active NPI
Richard Steven Winer, M.D.
- Psychiatry Physician
- Roswell, GA
National Provider Identifier
1164567277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 026412
- Practice address
- 11685 Alpharetta Hwy
Suite 210
Roswell, GA 30076-4913 - Phone
- (770) 442-1150
- Fax
- (770) 772-0416
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 026412 | GA | Primary |
Addresses
Primary practice location
11685 Alpharetta Hwy
Suite 210
Roswell, GA 30076-4913
Mailing address
11685 Alpharetta Hwy
Suite 210
Roswell, GA 30076-4913
Phone (770) 442-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00290804B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164567277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY",
"address_2": "SUITE 210",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764913",
"telephone_number": "770-442-1150",
"fax_number": "770-772-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11685 ALPHARETTA HWY",
"address_2": "SUITE 210",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764913",
"telephone_number": "770-442-1150",
"fax_number": "770-772-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINER",
"first_name": "RICHARD",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "026412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00290804B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.