Individual provider Active NPI

Sheldon Michael Lincenberg, MD

  • Specialist
  • Atlanta, GA
National Provider Identifier
1598875015
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
032233 Issued in GA
Practice address
1 Glenlake Pkwy NE
Suite 950
Atlanta, GA 30328-3448
Phone
(770) 730-8222
Fax
(678) 527-1281
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 032233 GA Primary

Addresses

Primary practice location

1 Glenlake Pkwy NE
Suite 950
Atlanta, GA 30328-3448

Mailing address

1 Glenlake Pkwy NE
Suite 950
Atlanta, GA 30328-3448
Phone (770) 730-8222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050427001005 GA Practitioner - Plastic and Reconstructive Surgery 3971542192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Glenlake Pkwy NE
Suite 950
Atlanta, GA 30328-3696
Phone (770) 730-8222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032233GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Plastic Surgery CurrentSince Mar 19, 1991 Accepting new patients

Locations

1 Glenlake Pkwy
Ste 950
Sandy Springs, GA 30328
Phone (678) 894-9200

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.

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": "1412121600000",
    "number": "1598875015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLENLAKE PKWY NE",
            "address_2": "SUITE 950",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283448",
            "telephone_number": "770-730-8222",
            "fax_number": "678-527-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLENLAKE PKWY NE",
            "address_2": "SUITE 950",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283448",
            "telephone_number": "770-730-8222",
            "fax_number": "678-527-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCENBERG",
        "first_name": "SHELDON",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "032233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.