Active NPI
William G. Schroeder, D.C.
- Chiropractor
- Marietta, GA
National Provider Identifier
1871662965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00320400
- Practice address
- 356 Fenbrook Way SW
Marietta, GA 30064-1680 - Phone
- (908) 229-4667
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00320400 | NJ | |
| Chiropractor | 111N00000X | 38MC00320400 | NJ | Primary |
Addresses
Primary practice location
356 Fenbrook Way SW
Marietta, GA 30064-1680
Mailing address
356 Fenbrook Way SW
Marietta, GA 30064-1680
Phone (908) 229-4667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4316788 | Other | AETNA PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4500 S Main St
Suite 104
Acworth, GA 30101-5400
Phone (706) 224-2924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Acworth, GA
- NPI 1164879029
-
- Chiropractor
- Acworth, GA
- NPI 1881962942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1871662965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 FENBROOK WAY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641680",
"telephone_number": "908-229-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 FENBROOK WAY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300641680",
"telephone_number": "908-229-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "WILLIAM",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00320400",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00320400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROV #",
"identifier": "4316788",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.