Healthcare Provider Details

I. General information

NPI: 1801783261
Provider Name (Legal Business Name): SCHNEIDA GOODMAN-BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HIGHLAND XING S
EAST ELLIJAY GA
30540-2394
US

IV. Provider business mailing address

3065 JARDIN LN NW
KENNESAW GA
30152-7831
US

V. Phone/Fax

Practice location:
  • Phone: 706-273-1954
  • Fax:
Mailing address:
  • Phone: 770-779-7466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN242056
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: