John Samuel Eddinger, DMIN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000431MFT Issued in GA

Practice address

1700 Tree Lane Road
Ste 260
Snellville, GA 30078-6762

Phone

(404) 202-3291

Fax

(770) 736-8627

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Judy M Plecko and Associates, L.L. C

  • Clinical Social Worker
  • Snellville, GA
  • NPI 1962679209
  NPD (past)
• Thomas W. Bantly, M.D., P.C

  • Psychiatry Physician
  • Snellville, GA
  • NPI 1356594709
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851495949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780574",
            "telephone_number": "404-202-3291",
            "fax_number": "770-736-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LANE ROAD",
            "address_2": "STE 260",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786762",
            "telephone_number": "404-202-3291",
            "fax_number": "770-736-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGER",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000431MFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Rheumatology & Internal Medicine
• Eastside Spine & Pain Center
• Eastside Urology
• Eastside Vascular Medicine and Surgery, P.C.
• Diana C Echeverria, BCBA
• Donna Edmond
• Raquel Edward, RBT
• Jacqueline C Edwards
• Paul Olumense Eguabor
• Ehca Eastside, LLC

• Marriage & Family Therapist in Snellville, GA
• Providers in Snellville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.