Active NPI
David Eric Schoenfeld, M.D.
- Dermatology Physician
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 040780
- Practice address
- 157 Clinic Ave
Suite 301
Carrollton, GA 30117-4413 - Phone
- (770) 838-9333
- Fax
- (770) 838-7755
- NPI assigned
- Jul 14, 2005
- Last updated
- Oct 5, 2010
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 040780 | GA | Primary |
Addresses
Primary practice location
157 Clinic Ave
Suite 301
Carrollton, GA 30117-4413
Mailing address
157 Clinic Ave
Suite 301
Carrollton, GA 30117-4413
Phone (770) 838-9333
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Duke University School of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
354 Newnan Crossing Byp
Suite 205
Newnan, GA 30265-2434
Phone (770) 520-8561
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 368 |
| Removal of skin lesions | 1592 |
| Removal or shaving of skin growth | 51 |
| Skin biopsy | 323 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040780 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists of W Ga | Dermatology | Current | Accepting new patients |
| West Georgia Derm Surgery Center | Past | Accepting new patients |
Locations
109 Professional Pl
Carrollton, GA 30117
Phone (770) 834-0170
157 Clinic Ave
Ste 301
Carrollton, GA 30117
Phone (770) 812-3631
601 Dixie St
Carrollton, GA 30117
Phone (770) 838-9333
354 Newnan Crossing Byp
Ste 205
Newnan, GA 30265
Phone (678) 326-4812
112 Wilshire Village Dr
Peachtree City, GA 30269
Phone 7706363376 ext. 63376
Interoperability endpoints
- dschoenfeld@westgaderm.emadirect.md
Organizations & group practices 2
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.
-
dba Newnan Dermatology
- Dermatology Physician
- Carrollton, GA
- NPI 1780658203
-
- MOHS-Micrographic Surgery Physician
- Carrollton, GA
- NPI 1235065590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1184622946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CLINIC AVE",
"address_2": "SUITE 301",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174413",
"telephone_number": "770-838-9333",
"fax_number": "770-838-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CLINIC AVE",
"address_2": "SUITE 301",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174413",
"telephone_number": "770-838-9333",
"fax_number": "770-838-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENFELD",
"first_name": "DAVID",
"middle_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "040780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.