Individual provider Active NPI

David Eric Schoenfeld, M.D.

  • Dermatology Physician
  • Carrollton, GA
National Provider Identifier
1184622946
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
040780 Issued in GA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000823 GA Practitioner - Dermatology 2264478478 Reassigns benefits to 1 organization

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
Dermatology Specialists of W GaGroup PAC ID 1456397660, 10 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision368
Removal of skin lesions1592
Removal or shaving of skin growth51
Skin biopsy323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040780GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of W Ga Dermatology CurrentSince Sep 19, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.