Individual provider Active NPI

Tyler Wade Trotter

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1972031979
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008600 Issued in GA
Practice address
6230 Shiloh Rd Ste 140
Alpharetta, GA 30005-8402
Phone
(770) 877-2324
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008600 GA Primary

Addresses

Primary practice location

6230 Shiloh Rd Ste 140
Alpharetta, GA 30005-8402

Mailing address

9401 Roberts Dr Apt 296
Sandy Springs, GA 30350-1500
Phone (702) 860-7974

Other practice location 1

4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6526
Phone (770) 858-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arun K Kantamneni MD, Inc. CurrentSince Dec 15, 2024 Accepting new patients
Bridgepoint Clinic PastSince Aug 28, 2022 Accepting new patients

Locations

523 Dixie St
Carrollton, GA 30117
Phone (770) 456-3266

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1972031979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 ROBERTS DR APT 296",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501500",
            "telephone_number": "702-860-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 SHILOH RD STE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058402",
            "telephone_number": "770-877-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4125 Atlanta Rd SE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806526",
            "country_code": "US",
            "telephone_number": "770-858-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "TYLER",
        "middle_name": "WADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.