Individual provider Active NPI

David Robert Schmidt, MD

  • Surgery Physician
  • Lawrenceville, GA
National Provider Identifier
1366440992
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28646 Issued in GA
Practice address
2200 Medical Center Blvd Ste 340
Lawrenceville, GA 30046-7768
Phone
(770) 978-0561
Fax
(770) 978-0546
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 28646 GA Primary

Addresses

Primary practice location

2200 Medical Center Blvd Ste 340
Lawrenceville, GA 30046-7768

Mailing address

2200 Medical Center Blvd Ste 340
Lawrenceville, GA 30046-7768
Phone (770) 978-0561

Other identifiers 1

IdentifierTypeStateIssuer
00398307AMedicaidGA

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
I20080618000488 GA Practitioner - General Surgery 4082785043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

2200 Medical Ctr Blvd
Suite 340
Lawrenceville, GA 30046-7768
Phone (770) 978-0561

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28646GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC Surgery CurrentSince Jul 15, 2024 Accepting new patients
Wallace F. Martin, M.D. Surgery Past Accepting new patients
Charles B Moomey Jr MD Past Accepting new patients
Advanced Neurosurgery Associates LLC Past Accepting new patients
Piedmont Surgical Associates LLC Surgery PastSince Jun 11, 2018 Accepting new patients

Locations

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

2800 Buford Dr
Ste 120
Buford, GA 30519
Phone (770) 643-4115

3855 Pleasant Hill Rd
Ste 470
Duluth, GA 30096
Phone (678) 312-7280

631 Professional Dr
Ste 300
Lawrenceville, GA 30046
Phone (770) 962-9977

2200 Medical Center Blvd
Ste 340
Lawrenceville, GA 30046
Phone (770) 978-0561

5185 Peachtree Pkwy
Ste 240
Peachtree Corners, GA 30092
Phone (470) 242-0716

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2306 Wisteria Dr
Ste 200
Snellville, GA 30078
Phone (770) 978-0561

1120 Peachtree Industrial Blvd
Ste 210
Suwanee, GA 30024

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1366440992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 340",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467768",
            "telephone_number": "770-978-0561",
            "fax_number": "770-978-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MEDICAL CENTER BLVD STE 340",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467768",
            "telephone_number": "770-978-0561",
            "fax_number": "770-978-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "28646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00398307A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.