Individual provider Active NPI

Adrienne Atkinson-Sneed, DPM

  • Podiatrist
  • East Point, GA
National Provider Identifier
1366462699
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000984 Issued in GA
Practice address
3485 N Desert Dr Ste 112
East Point, GA 30344-5724
Phone
(215) 740-7000
Fax
(770) 790-4752
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 602 SC
Public Medicine Podiatrist 213EP0504X 602 SC
Public Medicine Podiatrist 213EP0504X POD000984 GA
Primary Podiatric Medicine Podiatrist 213EP1101X POD000984 GA
Primary Podiatric Medicine Podiatrist 213EP1101X 602 SC
Radiology Podiatrist 213ER0200X POD000984 GA
Radiology Podiatrist 213ER0200X 602 SC
Sports Medicine Podiatrist 213ES0000X 602 SC
Sports Medicine Podiatrist 213ES0000X POD000984 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 602 SC
Foot & Ankle Surgery Podiatrist 213ES0103X POD000948 GA
Foot Surgery Podiatrist 213ES0131X 602 SC
Foot Surgery Podiatrist 213ES0131X POD000984 GA
Podiatrist 213E00000X POD000984 GA Primary

Addresses

Primary practice location

3485 N Desert Dr Ste 112
East Point, GA 30344-5724

Mailing address

1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone (404) 688-1350

Other practice location 1

1110 Marshall Rd
Wellness Center-Podiatry
Greenwood, SC 29646
Phone (215) 740-7000

Other identifiers 19

IdentifierTypeStateIssuer
4914320001OtherGADME REGION C
4914320001OtherGADME PTAN DR. A OLD INDIVIDUAL (PALMETTO GBA NSC) THORNTON
562310257OtherGATRICARE/HUMANA MILITARY
535013601AMedicaidGA
10055437OtherGAAMERIGROUP
1457508681OtherGANPI GROUP CC
511I480053OtherGAMEDICARE INDIVIDUAL PTAN
DQ9092OtherMEDICARE RR GROUP PTAN
1356598593OtherSCNPI GROUP SC
6169580001OtherGAPALMETTO GBA NSC (DME) PTAN CC
1790931483OtherGACAHABA GROUP NPI
6169580001OtherGAGROUP PTAN CC
6169580003OtherGAGROUP PTAN THORNTON
9277OtherSCMEDICARE GROUP PTAN (PALMETTO GBA)
1790931483OtherGAMEDICARE GA GROUP NPI (CAHABA)
510504808OtherGAHUMANA/TRICARE
511G700902OtherGAMEDICARE (CAHABA) GROUP PTAN
P00886457OtherMEDICARE RR INDIV PTAN
AA39809277OtherSCMEDICARE (PALMETTO GBA) INDIV PTAN

Other names 1

  • Dr. Adrienne Atkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000118 GA Practitioner - Podiatry 1658452909 Reassigns benefits to 1 organization
I20181029000036 AL Practitioner - Podiatry 1658452909

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Medical Center, Inc.Group PAC ID 6901700723, shared by 15 NPIs, 12 clinicians

Practice addresses (Care Compare)

1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone (404) 688-1350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000948GAMDFoot & Ankle Surgery Podiatrist
602SCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gait Medical LLC Podiatrist Current Accepting new patients
Southside Medical Center, Inc CurrentSince Nov 1, 2020 Accepting new patients
Southside Medical Center, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Gait Medical LLC Podiatrist Current Accepting new patients
Keyoka S Smith DPM LLC Past Accepting new patients
Southside Medical Center, Inc. Past Accepting new patients
Walk Well Footcare Center, LLC Podiatrist PastSince Jul 1, 2018 Accepting new patients

Locations

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

3485 N Desert Dr
Ste 112
East Point, GA 30344
Phone (215) 740-7000

1110 Marshall Rd
Greenwood, SC 29646
Phone (215) 740-7000

Interoperability endpoints

  • Direct secure messaging: adrienne.atkinsonsneed.p1@direct.smcmed.nextgenshare.com
  • Direct secure messaging: doctors@direct.meditouchehr.com

Organizations & group practices 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1366462699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 RIDGE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303151640",
            "telephone_number": "404-688-1350",
            "fax_number": "404-564-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 N DESERT DR STE 112",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445724",
            "telephone_number": "215-740-7000",
            "fax_number": "770-790-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Marshall Rd",
            "address_2": "Wellness Center-Podiatry",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "29646",
            "country_code": "US",
            "telephone_number": "215-740-7000",
            "fax_number": "770-790-4752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON-SNEED",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "GA",
            "license": "POD000984",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD000984",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "GA",
            "license": "POD000984",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "GA",
            "license": "POD000984",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000948",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD000984",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME  REGION C",
            "identifier": "4914320001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN DR. A OLD INDIVIDUAL (PALMETTO GBA NSC) THORNTON",
            "identifier": "4914320001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/HUMANA MILITARY",
            "identifier": "562310257",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535013601A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10055437",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP CC",
            "identifier": "1457508681",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "511I480053",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP PTAN",
            "identifier": "DQ9092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP SC",
            "identifier": "1356598593",
            "state": "SC"
        },
        {
            "code": "01",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHABA GROUP NPI",
            "identifier": "1790931483",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN CC",
            "identifier": "6169580001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN THORNTON",
            "identifier": "6169580003",
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN (PALMETTO GBA)",
            "identifier": "9277",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GA GROUP NPI (CAHABA)",
            "identifier": "1790931483",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/TRICARE",
            "identifier": "510504808",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (CAHABA) GROUP PTAN",
            "identifier": "511G700902",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR INDIV PTAN",
            "identifier": "P00886457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PALMETTO GBA) INDIV PTAN",
            "identifier": "AA39809277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "ATKINSON",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.