Provider Demographics
NPI:1366462699
Name:ATKINSON-SNEED, ADRIENNE (DPM)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:
Last Name:ATKINSON-SNEED
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:ADRIENNE
Other - Middle Name:
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1046 RIDGE AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-1640
Mailing Address - Country:US
Mailing Address - Phone:404-688-1350
Mailing Address - Fax:404-564-6972
Practice Address - Street 1:3485 N DESERT DR STE 112
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-5724
Practice Address - Country:US
Practice Address - Phone:215-740-7000
Practice Address - Fax:770-790-4752
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC602213E00000X, 213EP0504X, 213EP1101X, 213ER0200X, 213ES0000X, 213ES0103X, 213ES0131X
GAPOD000984213EP0504X, 213EP1101X, 213ER0200X, 213ES0000X, 213ES0131X, 213E00000X
GAPOD000948213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4914320001OtherDME REGION C
GA4914320001OtherDME PTAN DR. A OLD INDIVIDUAL (PALMETTO GBA NSC) THORNTON
GA562310257OtherTRICARE/HUMANA MILITARY
GA535013601AMedicaid
GA10055437OtherAMERIGROUP
GA1457508681OtherNPI GROUP CC
GA511I480053OtherMEDICARE INDIVIDUAL PTAN
DQ9092OtherMEDICARE RR GROUP PTAN
SC1356598593OtherNPI GROUP SC
GA6169580001OtherPALMETTO GBA NSC (DME) PTAN CC
GA1790931483OtherCAHABA GROUP NPI
GA6169580001OtherGROUP PTAN CC
GA6169580003OtherGROUP PTAN THORNTON
SC9277OtherMEDICARE GROUP PTAN (PALMETTO GBA)
GA1790931483OtherMEDICARE GA GROUP NPI (CAHABA)
GA510504808OtherHUMANA/TRICARE
GA511G700902OtherMEDICARE (CAHABA) GROUP PTAN
P00886457OtherMEDICARE RR INDIV PTAN
SCAA39809277OtherMEDICARE (PALMETTO GBA) INDIV PTAN
GA562310257OtherTRICARE/HUMANA MILITARY
DQ9092OtherMEDICARE RR GROUP PTAN
GA1457508681OtherNPI GROUP CC
GA511I480053OtherMEDICARE INDIVIDUAL PTAN