NPIMap

Individual provider Active NPI

Michelle Lynn Plaster, M.D.

  • Family Medicine Physician
  • Monroe, GA
National Provider Identifier
1073762720
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61639 Issued in GA
Practice address
1016 E Spring St
Monroe, GA 30655-2469
Phone
(770) 464-0280
Fax
(770) 464-0233
NPI assigned
Sep 17, 2008
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61639 GA Primary

Addresses

Primary practice location

1016 E Spring St
Monroe, GA 30655-2469

Mailing address

1016 E Spring St
Monroe, GA 30655-2469
Phone (770) 464-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000282 GA Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Internal Medicine 6406919554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ofhc - Focus LLCGroup PAC ID 4284979147, 3 clinicians
Our Family Health CenterGroup PAC ID 7214090364, 8 clinicians

Practice addresses (Care Compare)

1016 E Spring St
Monroe, GA 30655-2469
Phone (770) 464-0280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61639GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Health Center Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Ofhc - Focus LLC Family Medicine CurrentSince Jan 22, 2019 Accepting new patients
Monroe Nursing Home Inc Past Accepting new patients

Locations

1016 E Spring St
Monroe, GA 30655
Phone (770) 464-0280

1016 E Spring St
#0
Monroe, GA 30655

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIGAA/Endpoint/EFIGAA

Organizations & group practices 3

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1073762720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "61639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.