Active NPI
David T. Bedell, M.D.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1942237367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 013112
- Practice address
- 1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545 - Phone
- (770) 997-8516
- Fax
- (770) 991-9014
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 013112 | GA | Primary |
Addresses
Primary practice location
1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545
Mailing address
1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545
Phone (770) 997-8516
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013112 | GA | MD | Mental Health Counselor |
| 13112 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Mhddad | Past | Accepting new patients | |
| Fulton County Mental Health Center | 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.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1437299625
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1285700682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942237367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 PHOENIX BLVD",
"address_2": "SUITE 9",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495545",
"telephone_number": "770-997-8516",
"fax_number": "770-991-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 PHOENIX BLVD",
"address_2": "SUITE 9",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495545",
"telephone_number": "770-997-8516",
"fax_number": "770-991-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDELL",
"first_name": "DAVID",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "013112",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.