Organization Active NPI

Snapcare Clinic

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1730603267
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0025306 Issued in GA
Legal business name
SNAPCARE CLINIC
Practice address
5071 Snapfinger Woods Dr
Decatur, GA 30035-4019
Phone
(770) 981-0600
Fax
(770) 981-0677
NPI assigned
Jul 26, 2017
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Maria Latanya WalkerNPI 1548213366
Title
Ceo
Phone
(770) 981-0600

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0025306 GA Primary

Addresses

Primary practice location

5071 Snapfinger Woods Dr
Decatur, GA 30035-4019

Mailing address

5071 Snapfinger Woods Dr
Decatur, GA 30035-4019
Phone (770) 981-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124002543 GA Part B Supplier - Clinic/Group Practice 3577814938 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2284812Snapcare Clinic5071 Snapfinger Woods Drive, Decatur, GA 30035Provider-performed microscopyJun 28, 2027

National Provider Directory

National Provider Directory

Locations

5071 Snapfinger Woods Dr
#100
Decatur, GA 30035

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1730603267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600",
            "fax_number": "770-981-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600",
            "fax_number": "770-981-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAPCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LATANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-981-0600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "0025306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.

Verify at the official NPI Registry.