Active NPI
Earl J Snyder, M.D.
- Pain Medicine Physician
- Peachtree City, GA
National Provider Identifier
1538374376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 055703
- Practice address
- 525 Westpark Dr
Suite 100
Peachtree City, GA 30269-1575 - Phone
- (770) 487-0029
- Fax
- (770) 692-0116
- NPI assigned
- May 14, 2007
- Last updated
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 055703 | GA | Primary |
Addresses
Primary practice location
525 Westpark Dr
Suite 100
Peachtree City, GA 30269-1575
Mailing address
525 Westpark Dr
Suite 100
Peachtree City, GA 30269-1575
Phone (770) 487-0029
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 |
|---|---|---|---|
| 055703 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greening Medical Inc | Pain Medicine | Past | Accepting new patients |
| Mercy Kansas Communities, Inc | Past | Accepting new patients | |
| Surgical Assistants of America, Inc. | Past | Accepting new patients | |
| Mercy Kansas Communities Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Peachtree City, GA
- NPI 1366745549
-
- Surgery Physician
- Duluth, GA
- NPI 1417977885
-
dba Mercy Clinic Independence
- Family Medicine Physician
- Independence, KS
- NPI 1609842285
-
dba Mercy Clinic Fort Scott
- Family Medicine Physician
- Fort Scott, KS
- NPI 1316048176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1538374376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 WESTPARK DR",
"address_2": "SUITE 100",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691575",
"telephone_number": "770-487-0029",
"fax_number": "770-692-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 WESTPARK DR",
"address_2": "SUITE 100",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691575",
"telephone_number": "770-487-0029",
"fax_number": "770-692-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "EARL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "055703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.