Active NPI
Michelle A. Buckley, NP
- Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP243991
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003153898A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- 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
- 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
- St Joseph'S Hospital - Savannah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP243991 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| The Neurological Institute of Savannah & Center for Spine, PC | Current | Accepting new patients | |
| The Neurological Institute of Savannah & Center for Spine, PC | Current | Accepting new patients | |
| The Neurological Institute of Savannah & Center for Spine P C | Current | 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
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Neurological Surgery Physician
- Savannah, GA
- NPI 1093740615
-
- Neurological Surgery Physician
- Bluffton, SC
- NPI 1427358951
-
- Neurological Surgery Physician
- Vidalia, GA
- NPI 1215686241
-
- Neurological Surgery Physician
- Pooler, GA
- NPI 1528612728
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Hilton Head, SC
- NPI 1104123835
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.