Individual provider Active NPI

Jennifer Boswell Snowden, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1720067093
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043003 Issued in GA
Practice address
1117 Perimeter Ctr
N404
Atlanta, GA 30338-5451
Phone
(770) 817-4117
NPI assigned
Jan 13, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 043003 GA Primary

Addresses

Primary practice location

1117 Perimeter Ctr
N404
Atlanta, GA 30338-5451

Mailing address

1117 Perimeter Ctr
N404
Atlanta, GA 30338-5451
Phone (770) 817-4117

Other names 1

  • Jennifer Yancey Boswell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT, ME, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080610000511 GA Practitioner - Psychiatry 6709956261 Reassigns benefits to 3 organizations
I20110914000228 CT Practitioner - Psychiatry 6709956261 Reassigns benefits to 1 organization
I20171220001749 ME Practitioner - Psychiatry 6709956261 Reassigns benefits to 3 organizations
I20220824000493 NY Practitioner - Psychiatry 6709956261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

254 Commercial St
Suite 245
Portland, ME 04101-4899
Phone (833) 351-8255

300 Colonial Ctr Pkwy
Roswell, GA 30076-4899
Phone (833) 351-8255

777 W Putnam Ave
Suite 300
Greenwich, CT 06830-5000
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318754NYMDLicensed Practical Nurse
043003GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Psychiatry CurrentSince Oct 6, 2012 Accepting new patients
Acadia Hospital Corp CurrentSince Oct 23, 2017 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 6, 2012 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Oct 19, 2022 Accepting new patients
Community Service Board of Middle Georgia CurrentSince Mar 14, 2014 Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 23, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 23, 2020 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2121A Bellevue Rd
Dublin, GA 31021
Phone (478) 272-1190

300 Colonial Center Pkwy
Ofc 12
Roswell, GA 30076
Phone (833) 351-1825

10 Glenlake Pkwy
Ste 130
Sandy Springs, GA 30328
Phone (678) 230-7095

223 N Anderson Dr
Swainsboro, GA 30401
Phone (478) 289-2522

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1720067093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 PERIMETER CTR",
            "address_2": "N404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385451",
            "telephone_number": "770-817-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 PERIMETER CTR",
            "address_2": "N404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385451",
            "telephone_number": "770-817-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "JENNIFER",
        "middle_name": "BOSWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "043003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOSWELL",
            "middle_name": "YANCEY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.