Individual provider Active NPI

Mark J Schneider

  • Cardiovascular Disease Physician
  • Tucker, GA
National Provider Identifier
1902171085
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
84983 Issued in GA
Practice address
1468 Montreal Rd
Tucker, GA 30084-6901
Phone
(770) 638-1400
NPI assigned
Mar 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 84983 GA
Cardiovascular Disease Physician 207RC0000X 84983 GA Primary

Addresses

Primary practice location

1468 Montreal Rd
Tucker, GA 30084-6901

Mailing address

209 Peachtree Way NE
Atlanta, GA 30305-3739
Phone (484) 620-9987

Other identifiers 1

IdentifierTypeStateIssuer
14626767OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150616002733 PA Practitioner - Internal Medicine 9537251848 Reassigns benefits to 1 organization
I20200514003193 GA Practitioner - Cardiovascular Disease (Cardiology) 9537251848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Heart Specialists LLCGroup PAC ID 9537134341, 21 clinicians

Practice addresses (Care Compare)

1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
84983GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Heart Specialists LLC Cardiovascular Disease CurrentSince Jun 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2015 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2015 Accepting new patients

Locations

3275 Market Place Blvd
Ste 100
Cumming, GA 30041
Phone (770) 292-1900

2801 N Decatur Rd
Ste 395
Decatur, GA 30033
Phone (404) 298-2220

2665 N Decatur Rd
Ste 320
Decatur, GA 30033
Phone (404) 292-1144

4375 Johns Creek Pkwy
Suwanee, GA 30024

4375 Johns Creek Pkwy
Ste 350
Suwanee, GA 30024
Phone (770) 622-1622

1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1902171085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PEACHTREE WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053739",
            "telephone_number": "484-620-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846901",
            "telephone_number": "770-638-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2023-10-25",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "84983",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "84983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14626767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.