Active NPI
Bickerton Winston Cardwell III, N.D., L.AC.
- Acupuncturist
- Roswell, GA
National Provider Identifier
1548416605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198
- Practice address
- 45 W Crossville Rd Ste 501
Roswell, GA 30075-2964 - Phone
- (770) 594-1233
- Fax
- (770) 594-0037
- NPI assigned
- Aug 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1434 | OR | |
| Acupuncturist | 171100000X | 198 | GA | Primary |
Addresses
Primary practice location
45 W Crossville Rd Ste 501
Roswell, GA 30075-2964
Mailing address
45 West Crossville Road
Suite 501
Roswell, GA 30075
Phone (770) 594-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1434 | Other | OR | NATUROPATHIC PHYSICIAN |
Other names 1
- Dr. Winston Cardwell III
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198 | GA | MD | Acupuncturist |
| 1434 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crabapple Internal Medicine, PC | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Roswell, GA
- NPI 1013991595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1548416605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WEST CROSSVILLE ROAD",
"address_2": "SUITE 501",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30075",
"telephone_number": "770-594-1233",
"fax_number": "770-594-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W CROSSVILLE RD STE 501",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752964",
"telephone_number": "770-594-1233",
"fax_number": "770-594-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDWELL",
"first_name": "BICKERTON",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "N.D., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1434",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATUROPATHIC PHYSICIAN",
"identifier": "1434",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WINSTON",
"last_name": "CARDWELL",
"prefix": "DR.",
"suffix": "III",
"credential": "ND, MS, LAC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.