Active NPI
William E. Snell DO PC
Doing business as Kenmar Family Practice
- General Practice Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 024495
- Legal business name
- WILLIAM E. SNELL DO PC
- Doing business as
- Kenmar Family Practice
- Practice address
- 880 Canton Road
Suite 300
Marietta, GA 30060-7283 - Phone
- (770) 590-0585
- Fax
- (770) 428-4087
- NPI assigned
- May 3, 2007
- Last updated
- Jan 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Edward Snell, D.O.
- Title
- President
- Phone
- (770) 590-0585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 024495 | GA | Primary |
Addresses
Primary practice location
880 Canton Road
Suite 300
Marietta, GA 30060-7283
Mailing address
880 Canton Road
Suite 300
Marietta, GA 30060-7283
Phone (770) 590-0585
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG6106 | Other | GA | RAILROAD MEDICARE |
| GRP4464 | Other | GA | MEDICARE |
| 000273391A | Medicaid | GA |
Other names 2
- Kenmar Family Practice
- William E. Snell D.O. , P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0708081 | Kenmar Family Practice | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
880 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (770) 590-0585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Marietta, GA
- NPI 1013932003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1659593077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 CANTON ROAD",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607283",
"telephone_number": "770-590-0585",
"fax_number": "770-428-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 CANTON ROAD",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607283",
"telephone_number": "770-590-0585",
"fax_number": "770-428-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM E. SNELL DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "SNELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-590-0585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "024495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG6106",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GRP4464",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000273391A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenmar Family Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "William E. Snell D.O. , P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.