Individual provider Active NPI

Richard J Schleissinger, DPM

  • Podiatrist
  • Acworth, GA
National Provider Identifier
1184637712
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000867 Issued in GA
Practice address
3459 Acworth Due West Rd NW
Ste 430
Acworth, GA 30101-5819
Phone
(770) 529-9002
Fax
(770) 529-9004
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000867 GA Primary

Addresses

Primary practice location

3459 Acworth Due West Rd NW
Ste 430
Acworth, GA 30101-5819

Mailing address

3459 Acworth Due West Rd NW
Ste 430
Acworth, GA 30101-5819
Phone (770) 529-9002

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000971 GA Practitioner - Podiatry 8224001573 Practice locations: Acworth, GA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3459 Acworth Due W Rd Northwest
Suite 430
Acworth, GA 30101-5823
Phone (770) 529-9002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of nail tissue320
Removal or shaving of skin growth66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000867GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Schleissinger D.P.M. P.C Podiatrist CurrentSince Feb 16, 2001 Accepting new patients

Locations

3459 Acworth Due West Rd NW
Ste 430
Acworth, GA 30101
Phone (770) 529-9002

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1184637712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW",
            "address_2": "STE 430",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015819",
            "telephone_number": "770-529-9002",
            "fax_number": "770-529-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW",
            "address_2": "STE 430",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015819",
            "telephone_number": "770-529-9002",
            "fax_number": "770-529-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEISSINGER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.