1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Psychiatry Neurology
  6. NPI Profile

THOMAS W. BANTLY, M.D., P.C
NPI 1356594709
Psychiatry & Neurology - Psychiatry in Snellville, GA

Active since October 29, 2008
1700 TREE LANE ROAD, SUITE 260, SNELLVILLE, GA 30078(770) 736-7534(770) 736-8627 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas W. Bantly, M.d., P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS W. BANTLY, M.D., P.C (NPI 1356594709) is a healthcare organization registered as a psychiatry in Snellville, Georgia and active in the NPI registry since October 2008. The organization lists Thomas W. Bantly, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1356594709
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTHOMAS W. BANTLY, M.D., P.C
Location Address1700 TREE LANE ROAD, SUITE 260Snellville, GA 30078-6782
Mailing Address1700 Tree Lane Road, Suite 260Snellville, GA 30078-6782 · (770) 736-7534 · Fax (770) 736-8627
Phone(770) 736-7534
Fax(770) 736-8627
Organization SubpartNo
Authorized OfficialThomas W. BantlyPresident/ceo · (770) 738-7534
Enumeration DateOctober 29, 2008
✔ NPI 1356594709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1700 TREE LANE ROAD, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN161385341BGA
Medicaid000275877BGA
Medicare UPIND28866

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN SAMUEL EDDINGER DMIN
Marriage & Family Therapist
1700 TREE LANE ROAD, STE 260
SNELLVILLE, GA 30078
Gwinnett County (404) 202-3291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas W. Bantly, M.D., P.C's NPI number?

The NPI number for Thomas W. Bantly, M.D., P.C is 1356594709. It was assigned to this organization in the NPPES registry on October 29, 2008.

Where is Thomas W. Bantly, M.D., P.C located?

Thomas W. Bantly, M.D., P.C is located at 1700 Tree Lane Road Suite 260, Snellville, GA 30078. The listed phone number is (770) 736-7534.

What is Thomas W. Bantly, M.D., P.C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Thomas W. Bantly, M.D., P.C was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.