Active NPI
Tyler Wade Trotter
- Clinical Social Worker
- Alpharetta, GA
National Provider Identifier
1972031979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW008600
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arun K Kantamneni MD, Inc. | Current | Accepting new patients | |
| Bridgepoint Clinic | Past | 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.
-
- Psychiatry Physician
- Villa Rica, GA
- NPI 1922491695
-
- Psychiatry Physician
- Smyrna, GA
- NPI 1396464483
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.