Individual provider Active NPI

Victoria A Gladwell, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1841355849
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
053533 Issued in GA
Practice address
7000 Peachtree Dunwoody Road
BLDG 16 Suite 100
Atlanta, GA 30328
Phone
(770) 393-1880
Fax
(770) 393-1885
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 053533 GA Primary

Addresses

Primary practice location

7000 Peachtree Dunwoody Road
BLDG 16 Suite 100
Atlanta, GA 30328

Mailing address

7000 Peachtree Dunwoody Road
BLDG 16 Suite 100
Atlanta, GA 30328
Phone (770) 393-1880

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
053533GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Area Family Psychiatry Clinic Psychiatry Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841355849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PEACHTREE DUNWOODY ROAD",
            "address_2": "BLDG 16 SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-393-1880",
            "fax_number": "770-393-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 PEACHTREE DUNWOODY ROAD",
            "address_2": "BLDG 16 SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-393-1880",
            "fax_number": "770-393-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADWELL",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "053533",
            "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 Mar 7, 2023; 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.