Active NPI
Daniel C Rendleman, MD
- Psychiatry Physician
- Tucker, GA
National Provider Identifier
1396854402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 029938
- Practice address
- 200 Crescent Centre Park
Department of Behavioral Health
Tucker, GA 30084 - Phone
- (770) 496-3609
- Fax
- (770) 496-3708
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 029938 | GA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 029938 | GA |
Addresses
Primary practice location
200 Crescent Centre Park
Department of Behavioral Health
Tucker, GA 30084
Mailing address
3495 Piedmont Road NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029938 | GA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Psychiatry | 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396854402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CRESCENT CENTRE PARK",
"address_2": "DEPARTMENT OF BEHAVIORAL HEALTH",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-496-3609",
"fax_number": "770-496-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDLEMAN",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "029938",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "029938",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Laura Ann Reichwald, CRNA
- Analla Kiran Reid
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- Reliance Medical Laboratories, Inc.
- Renal Treatment Centers Mid Atlantic Inc (Northlake Dialysis)
- Renewed Journey Counseling Services LLC (Renewed Journey Counseling Svcs)
- Haylee Renouf, MS., CCC-SLP
- Lynne Somerville Repasky, PT
- Danica Samuels Reuter, LCSW
- Revelations Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.