Active NPI
Michael S. Vavrik, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 047859
- Practice address
- 905 Dixie St
Carrollton, GA 30117-4408 - Phone
- (678) 796-0681
- Fax
- (770) 836-8477
- NPI assigned
- Sep 22, 2006
- Last updated
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 047859 | GA | Primary |
Addresses
Primary practice location
905 Dixie St
Carrollton, GA 30117-4408
Mailing address
905 Dixie St
Carrollton, GA 30117-4408
Phone (678) 796-0681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 812-9666
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current | Accepting new patients | |
| Mary M Feldman MD LLC | Current | Accepting new patients | |
| Diabetes and Endocrinology Associates East | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
410 Dixie St
Carrollton, GA 30117
Phone (678) 796-0681
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Specialist
- Carrollton, GA
- NPI 1821116781
-
dba Carrollton Dermatology
- Medical Specialty Clinic/Center
- Carrollton, GA
- NPI 1699215541
-
- Endocrinology, Diabetes & Metabolism Physician
- Conyers, GA
- NPI 1831758846
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Tanner Health System
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
dba Tanner Health System
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
dba Tanner Health System
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
-
dba Tanner Medical Center East Alabama
- Critical Access Hospital
- Wedowee, AL
- NPI 1912428301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1003915158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174408",
"telephone_number": "678-796-0681",
"fax_number": "770-836-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174408",
"telephone_number": "678-796-0681",
"fax_number": "770-836-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVRIK",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "047859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.