Individual provider Active NPI

Stephen Alan Zanville, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1821317900
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
018349 Issued in GA
Practice address
1885 D Youville LN
Atlanta, GA 30341-1472
Phone
(770) 714-0372
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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 018349 GA Primary

Addresses

Primary practice location

1885 D Youville LN
Atlanta, GA 30341-1472

Mailing address

1885 D Youville LN
Atlanta, GA 30341-1472
Phone (770) 714-0372

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018349GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

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, 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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1821317900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 D YOUVILLE LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411472",
            "telephone_number": "770-714-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 D YOUVILLE LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411472",
            "telephone_number": "770-714-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANVILLE",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "018349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.