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DR. KELLY ALEXIS SCHEINBERG M.D.
NPI 1609010479
Psychiatry & Neurology - Addiction Psychiatry in Roswell, GA

Active since April 23, 2009Opted out of Medicare · through Oct 1, 2026
114 SLOAN ST, ROSWELL, GA 30075(770) 594-3099(770) 594-3099 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Dr. Kelly Alexis Scheinberg M.d. NPPES

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

DR. KELLY ALEXIS SCHEINBERG M.D. (NPI 1609010479) is an individual addiction psychiatry provider in Roswell, Georgia, licensed in Georgia (67608) and active in the NPI registry since April 2009. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1609010479
Entity TypeIndividualFemale
Primary Taxonomy2084P0802X
Provider Legal NameDR. KELLY ALEXIS SCHEINBERGCredential: M.D.
Location Address114 SLOAN STRoswell, GA 30075-4922
Mailing Address114 Sloan StRoswell, GA 30075-4922 · (770) 594-3099 · Fax (770) 594-3099
Phone(770) 594-3099
Fax(770) 594-3099
Sole ProprietorYes
Enumeration DateApril 23, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1609010479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in GA · 67608
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 67608 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
114 SLOAN ST, Roswell, GA 30075
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Secondary Practice Location 1

Location 11190 N Highland Ave NE, #8295Atlanta, GA 30306-4051 · Phone (470) 251-2195

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly Alexis Scheinberg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

JEANNE NORGREN RYAN LCSW
Social Worker (Clinical)
114 SLOAN ST
ROSWELL, GA 30075
Fulton County (770) 594-3065
FOUNDATIONS RECOVERY NETWORK
Substance Abuse Rehabilitation Facility
114 SLOAN ST
ROSWELL, GA 30075
Fulton County (954) 587-7771

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 Kelly Scheinberg's NPI number?

The NPI number for Kelly Scheinberg is 1609010479. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Kelly Scheinberg located?

Kelly Scheinberg practices at 114 Sloan St, Roswell, GA 30075. The listed phone number is (770) 594-3099.

What is Kelly Scheinberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Kelly Scheinberg enrolled in Medicare?

No. Kelly Scheinberg has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Scheinberg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.