Individual provider Active NPI

Elizabeth Anne Bochtler, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1215114343
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
002611 Issued in GA
Practice address
2004 Ridgewood Dr NE
Suite 218
Atlanta, GA 30322-1031
Phone
(404) 727-5157
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 002611 GA Primary

Addresses

Primary practice location

2004 Ridgewood Dr NE
Suite 218
Atlanta, GA 30322-1031

Mailing address

2004 Ridgewood Dr NE
Suite 218
Atlanta, GA 30322-1031
Phone (404) 727-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170608002124 AZ Practitioner - Psychiatry 1456509454

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2929 E Thomas Rd
Phoenix, AZ 85016-8034

846 Stone Church Rd
Middle Grove, NY 12850-1133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002611GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Ranch, LP Past Accepting new patients

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, 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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1215114343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 RIDGEWOOD DR NE",
            "address_2": "SUITE 218",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221031",
            "telephone_number": "404-727-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 RIDGEWOOD DR NE",
            "address_2": "SUITE 218",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221031",
            "telephone_number": "404-727-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHTLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "002611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.