Individual provider Active NPI

Tamela Miles Snyder, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlanta, GA
National Provider Identifier
1205881802
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
059964 Issued in GA
Practice address
1968 Peachtree Rd NW
Pathology Dept
Atlanta, GA 30309-1281
Phone
(404) 605-3247
Fax
(404) 609-6645
NPI assigned
May 23, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M1359 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 059964 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Pathology Dept
Atlanta, GA 30309-1281

Mailing address

PO Box 491028
Lawrenceville, GA 30049-0053
Phone (404) 605-3247

Other identifiers 1

IdentifierTypeStateIssuer
182702401MedicaidTX

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
I20080110000524 GA Practitioner - Pathology 0941212005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Piedmont Pathology PCGroup PAC ID 7214918556, 11 clinicians
Peachtree Laboratory Associates PCGroup PAC ID 9537134788, 11 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2054

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-2430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059964GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Piedmont Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2007 Accepting new patients
Peachtree Laboratory Associates PC CurrentSince Jul 24, 2010 Accepting new patients
Southern Gastroenterology Specialists, P.C CurrentSince Apr 3, 2025 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology PastSince Aug 3, 2025 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology PastSince Aug 3, 2025 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

6555 Professional Pl
Ste C
Riverdale, GA 30274
Phone (770) 692-0100

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFJAD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1205881802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491028",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490053",
            "telephone_number": "404-605-3247",
            "fax_number": "770-237-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "address_2": "PATHOLOGY DEPT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-3247",
            "fax_number": "404-609-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "TAMELA",
        "middle_name": "MILES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M1359",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "059964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182702401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.