Active NPI
Dianne Thornley Sheintal, PA-C
- Medical Physician Assistant
- Snellville, GA
National Provider Identifier
1710185178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2129
- Practice address
- 3020 Scenic Hwy S
Snellville, GA 30039-4614 - Phone
- (770) 978-1331
- Fax
- (770) 978-8580
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2129 | GA | Primary |
Addresses
Primary practice location
3020 Scenic Hwy S
Snellville, GA 30039-4614
Mailing address
4158 Suwanee Trail Way
Buford, GA 30518-8730
Phone (770) 932-8411
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1710185178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4158 SUWANEE TRAIL WAY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188730",
"telephone_number": "770-932-8411",
"fax_number": "770-932-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 SCENIC HWY S",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300394614",
"telephone_number": "770-978-1331",
"fax_number": "770-978-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEINTAL",
"first_name": "DIANNE",
"middle_name": "THORNLEY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "2129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.