Individual provider Active NPI

Scott Snyder, M.D.

  • Specialist
  • Athens, GA
National Provider Identifier
1679619183
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
279189 Issued in GA
Practice address
1999 Prince Ave
Athens, GA 30606-6013
Phone
(706) 543-0059
Fax
(706) 543-0290
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 279189 GA Primary

Addresses

Primary practice location

1999 Prince Ave
Athens, GA 30606-6013

Mailing address

1999 Prince Ave
Athens, GA 30606-6013
Phone (706) 543-0059

Other identifiers 2

IdentifierTypeStateIssuer
27918OtherGASTATE LICENSE
00311363AMedicaidGA

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
I20080703000083 GA Practitioner - Psychiatry 9032281217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Sunset Dr
Suite 202
Athens, GA 30606-7722
Phone (706) 543-0059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
279189GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Snyder, M.D., P.C. CurrentSince Jul 1, 2002 Accepting new patients

Locations

1999 Prince Ave
Athens, GA 30606
Phone (706) 227-6002

700 Sunset Dr
Ste 202
Athens, GA 30606
Phone (706) 353-8188

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1679619183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066013",
            "telephone_number": "706-543-0059",
            "fax_number": "706-543-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066013",
            "telephone_number": "706-543-0059",
            "fax_number": "706-543-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "279189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27918",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311363A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.