Individual provider Active NPI

Cheryl Louise Eschbach, M.D., PH.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1619130507
Registry record updated Jul 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
051931 Issued in GA
Practice address
4 Executive Park East NE
Suite 470
Atlanta, GA 30329-2245
Phone
(404) 636-4330
Fax
(404) 636-4338
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 051931 GA Primary

Addresses

Primary practice location

4 Executive Park East NE
Suite 470
Atlanta, GA 30329-2245

Mailing address

4 Executive Park East NE
Suite 470
Atlanta, GA 30329-2245
Phone (404) 636-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 28, 2015 through Oct 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
051931GAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215820800000",
    "number": "1619130507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE PARK EAST NE",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292245",
            "telephone_number": "404-636-4330",
            "fax_number": "404-636-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE PARK EAST NE",
            "address_2": "SUITE 470",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292245",
            "telephone_number": "404-636-4330",
            "fax_number": "404-636-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHBACH",
        "first_name": "CHERYL",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "051931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.