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SAMUEL ROSENBLATT
NPI 1700458791
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since July 11, 2021PECOS Enrolled
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329(404) 778-5526 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 30, 2026, Aug 4, 2026, Jul 20, 2021 and 1 more (4 updates tracked since 2021).

About Samuel Rosenblatt NPPES

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

SAMUEL ROSENBLATT (NPI 1700458791) is an individual psychiatry provider in Atlanta, Georgia, licensed in Pennsylvania (MT223830) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700458791
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL ROSENBLATT
Location Address12 EXECUTIVE PARK DR NEAtlanta, GA 30329-2206
Mailing Address12 Executive Park Dr NeAtlanta, GA 30329-2206 · (404) 778-5526
Phone(404) 778-5526
Sole ProprietorNo
Enumeration DateJuly 11, 2021
Last NPPES UpdateAugust 30, 20264 updates tracked since enumeration
NPPES CertifiedAugust 30, 2026
✔ NPI 1700458791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in PA · MT223830✔ Licensed in GA · 111855
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.
12 EXECUTIVE PARK DR NE, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Rosenblatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Rosenblatt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
2.7 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Medical Care Foundation Inc
5.5 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
Eastern Pennsylvania Physician Alliance LLC
576 mi
Neurology
2 HOSPITAL DR
Clarion, PA 16214
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 142 clinicians in this Medicare group
NPI 1902440621 (814) 226-9545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. PEARL VICTORIA RYDER M.D., PH.D.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
CHRISTI N ACKER DPT, PT
Physical Therapist (Neurology)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-7777
ORLA MCQUADE FNP-C
Nurse Practitioner (Family)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444
MEGAN LEIGH GOODLIN LCSW
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (850) 591-6066
PETER ASH MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE, CHILD PSYCHIATRY, SUITE 200
ATLANTA, GA 30329
Dekalb County (404) 727-3973
KELSEY R SPRANG JONES PSYD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (859) 433-5348
BRANDI ANNE BURKE M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
ROCIO CAROLINA GARCIA SANTIBANEZ M.D.
Psychiatry & Neurology (Neuromuscular Medicine)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444

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 Samuel Rosenblatt's NPI number?

The NPI number for Samuel Rosenblatt is 1700458791. It was assigned to this individual provider in the NPPES registry on July 11, 2021.

Where is Samuel Rosenblatt located?

Samuel Rosenblatt practices at 12 Executive Park Dr NE, Atlanta, GA 30329. The listed phone number is (404) 778-5526.

What is Samuel Rosenblatt's specialty?

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

Is Samuel Rosenblatt enrolled in Medicare?

Yes. Samuel Rosenblatt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Rosenblatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Rosenblatt reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Eastern Pennsylvania Physician Alliance LLC (Clarion, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Rosenblatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Rosenblatt was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.