Individual provider Active NPI

Steven Perry Schulenborg, M.D.

  • Pediatric Sports Medicine Physician
  • Atlanta, GA
National Provider Identifier
1942527932
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
50353 Issued in TN
Practice address
6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Phone
(404) 446-3841
Fax
(678) 868-2184
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sports Medicine Physician 2080S0010X 50353 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221

Mailing address

6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Phone (404) 446-3841

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50353TNMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

6 Executive Park Dr NE
Ste 10
Atlanta, GA 30329
Phone (404) 321-9900

148 Bill Carruth Pkwy
Ste 120
Hiram, GA 30141
Phone (770) 443-7136

2550 Windy Hill Rd SE
Ste 220
Marietta, GA 30067
Phone (770) 952-2100

145 N Medical Pkwy
Woodstock, GA 30189
Phone (770) 517-1900

Interoperability endpoints

  • Direct secure messaging: sschulenborg117054@directwellstar.org
  • Direct secure messaging: sschulenborg@poa1811.srs-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1942527932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE",
            "address_2": "SUITE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292221",
            "telephone_number": "404-446-3841",
            "fax_number": "678-868-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR NE",
            "address_2": "SUITE 10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292221",
            "telephone_number": "404-446-3841",
            "fax_number": "678-868-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULENBORG",
        "first_name": "STEVEN",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "TN",
            "license": "50353",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.