Active NPI
Michael Patterson, MD
- Pediatrics Physician
- Cumming, GA
National Provider Identifier
1053475970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38328
- Practice address
- 410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066 - Phone
- (404) 785-3020
- Fax
- (404) 785-3033
- NPI assigned
- Dec 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38328 | GA | Primary |
Addresses
Primary practice location
410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066
Mailing address
410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066
Phone (404) 785-3020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160603000540 | GA | Order and Referring Only - Pediatric Medicine | 6709176704 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38328 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1053475970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 PEACHTREE PKWY",
"address_2": "SUITE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417066",
"telephone_number": "404-785-3020",
"fax_number": "404-785-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PEACHTREE PKWY",
"address_2": "SUITE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417066",
"telephone_number": "404-785-3020",
"fax_number": "404-785-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "38328",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "410 Peachtree Pkwy",
"address_2": "Suite 300",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300417066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.