Organization Active NPI

Scott Snyder, M.D., P.C.

  • Prescribing (Medical) Psychologist
  • Athens, GA
National Provider Identifier
1801054739
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
27918 Issued in GA
Legal business name
SCOTT SNYDER, M.D., P.C.
Practice address
1999 Prince Ave
Athens, GA 30606-6013
Phone
(706) 543-0059
Fax
(706) 543-0290
NPI assigned
May 28, 2008
Organization subpart
No

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

Authorized official

Name
Dr. Scott SnyderNPI 1679619183
Title
Medical Doctor
Phone
(706) 543-0059

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
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 27918 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000091 GA Part B Supplier - Clinic/Group Practice 7113099391 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1801054739",
    "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": {
        "organization_name": "SCOTT SNYDER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "706-543-0059",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "GA",
            "license": "27918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.