Individual provider Active NPI

Michelle A. Buckley, NP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1083040372
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP243991 Issued in GA
Practice address
4 E Jackson Blvd
Savannah, GA 31405-5895
Phone
(912) 355-1010
Fax
(912) 351-0589
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP243991 GA Primary

Addresses

Primary practice location

4 E Jackson Blvd
Savannah, GA 31405-5895

Mailing address

706 Central Blvd
Guyton, GA 31312-4329
Phone (912) 355-1010

Other identifiers 1

IdentifierTypeStateIssuer
003153898AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140129001148 SC Practitioner - Nurse Practitioner 8628207354 Reassigns benefits to 1 organization
I20150226001547 GA Practitioner - Nurse Practitioner 8628207354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 355-1010

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP243991GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
The Neurological Institute of Savannah & Center for Spine, PC CurrentSince Dec 1, 2025 Accepting new patients
The Neurological Institute of Savannah & Center for Spine, PC CurrentSince Dec 1, 2025 Accepting new patients
The Neurological Institute of Savannah & Center for Spine P C CurrentSince Dec 1, 2025 Accepting new patients
Heart Associate of Hilton Head LLC Past Accepting new patients

Locations

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

4 E Jackson Blvd
Savannah, GA 31405

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mbuckley170669@direct.tgh.org

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1083040372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CENTRAL BLVD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313124329",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JACKSON BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055895",
            "telephone_number": "912-355-1010",
            "fax_number": "912-351-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP243991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153898A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.