Individual provider Active NPI

Harry Addison Snowdy Jr., MD

  • Orthopaedic Surgery Physician
  • Martinez, GA
National Provider Identifier
1922073717
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
#29107 Issued in GA
Practice address
3567 Stevens Way
Martinez, GA 30907-9560
Phone
(706) 951-0181
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X #29107 GA Primary

Addresses

Primary practice location

3567 Stevens Way
Martinez, GA 30907-9560

Mailing address

3567 Stevens Way
Martinez, GA 30907-9560
Phone (706) 951-0181

Other identifiers 1

IdentifierTypeStateIssuer
00332428BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150323001319 GA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9436476975

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
#29107GAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1922073717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 STEVENS WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079560",
            "telephone_number": "706-951-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 STEVENS WAY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079560",
            "telephone_number": "706-951-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDY",
        "first_name": "HARRY",
        "middle_name": "ADDISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "#29107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00332428B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.