Active NPI
Michael John Atkinson, MPAS, PA-C, ATC
- Physician Assistant
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1000 Health Center Dr
Mattoon, IL 61938-4644 - Phone
- (217) 238-4960
- Fax
- (217) 238-4951
- NPI assigned
- Nov 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1000 Health Center Dr
Mattoon, IL 61938-4644
Mailing address
PO Box 372
Mattoon, IL 61938-0372
Other practice location 1
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Physician Assistant | Current | Accepting new patients |
Locations
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
Phone (270) 417-7500
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Physician Assistant
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1013313253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-238-4960",
"fax_number": "217-238-4951"
}
],
"practiceLocations": [
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATKINSON",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "MPAS, PA-C, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-17",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.