Individual provider Active NPI

David Charles Purselle, MD, MS

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1356384135
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
044312 Issued in GA
Practice address
652 Bellemeade Ave NW
Atlanta, GA 30318-3102
Phone
(678) 705-8166
Fax
(678) 705-8569
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 044312 GA Primary

Addresses

Primary practice location

652 Bellemeade Ave NW
Atlanta, GA 30318-3102

Mailing address

652 Bellemeade Ave NW
Atlanta, GA 30318-3102
Phone (678) 705-8166

Other identifiers 2

IdentifierTypeStateIssuer
000868832IMedicaidGA
00868832AMedicaidGA

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
I20101019000713 GA Practitioner - Psychiatry 3173649365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

652 Bellemeade Ave NW
Atlanta, GA 30318-3102
Phone (678) 705-8166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044312GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GPC Psychiatry Psychiatry Current Accepting new patients
Georgia Psychiatric Consultants LLC Psychiatry CurrentSince Mar 16, 2010 Accepting new patients
Mrsmd LLC Current Accepting new patients

Locations

652 Bellemeade Ave NW
Atlanta, GA 30318
Phone (470) 846-7763

652 Bellemeade Ave NW
Ste A
Atlanta, GA 30318

235 E Ponce de Leon Ave
Ste 120
Decatur, GA 30030
Phone (404) 242-3395

Interoperability endpoints

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

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1356384135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BELLEMEADE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183102",
            "telephone_number": "678-705-8166",
            "fax_number": "678-705-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BELLEMEADE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183102",
            "telephone_number": "678-705-8166",
            "fax_number": "678-705-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSELLE",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "044312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000868832I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00868832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.