Active NPI
Virgil Anthony William Bartels IV, DDS
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1336090455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN124068.
- Practice address
- 8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150 - Phone
- (770) 504-4519
- NPI assigned
- Feb 5, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN124068. | GA | MD | General Practice Dentistry |
| 13068 | TN | MD | General Practice Dentistry |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN124068. | GA | Primary |
| General Practice Dentistry | 1223G0001X | 13068 | TN |
Addresses
NPPES NPI RegistryPrimary practice location
8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150
Mailing address
8200 Roberts Dr Ste 100
Atlanta, GA 30350-4150
Other practice location 1
7333 Shallowford Rd
Chattanooga, TN 37421-2627
Phone (423) 414-3140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2026.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1336090455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 ROBERTS DR STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 ROBERTS DR STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504150",
"telephone_number": "770-504-4519"
}
],
"practiceLocations": [
{
"address_1": "7333 Shallowford Rd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374212627",
"country_code": "US",
"telephone_number": "423-414-3140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTELS",
"first_name": "VIRGIL",
"middle_name": "ANTHONY WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-05",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN124068.",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "13068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.