Gary D. Weichbrodt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

031152 Issued in GA

Practice address

1330 Concord Rd SE
Smyrna, GA 30080-4375

Phone

(770) 433-2821

Fax

(770) 433-2823

NPI assigned

May 3, 2006

Last updated

Feb 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brightening Glance Psychiatry LLC

  • Psychiatry Physician
  • Woodstock, GA
  • NPI 1104789718
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1538127261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804375",
            "telephone_number": "770-433-2821",
            "fax_number": "770-433-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804375",
            "telephone_number": "770-433-2821",
            "fax_number": "770-433-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICHBRODT",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "031152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00371236A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia Elaine Waters, MA. LPC
• Sharday Watkins
• Steven Benjamin Watson, M.D.
• Patricia Ann Weaver, RN
• Sierra N Weaver, MSN APRN FNP-C
• Remond Francois Weinberg, D.C.
• Melvin R. Weiss, O.D.
• Emily P. Welch, PT
• Almass N Welji, MD
• Wellnessone of Smyrna

• Psychiatry Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.