Michael Lee Brackett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

026462 Issued in GA

Practice address

122A Gordon Commercial Dr
Lagrange, GA 30240-5740

Phone

(706) 845-4035

NPI assigned

Aug 25, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Family Medicine

  Medicare reassignment NPD
• Troup County Board of Health

  dba Troup County Health Department

  • State or Local Public Health Clinic/Center
  • Lagrange, GA
  • NPI 1306838586
  NPD (past)
• Troup County Board of Health

  dba District Four Health Services

  • State or Local Public Health Clinic/Center
  • Lagrange, GA
  • NPI 1912091661
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083607071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A GORDON COMMERCIAL DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405740",
            "telephone_number": "706-845-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A GORDON COMMERCIAL DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405740",
            "telephone_number": "706-845-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "026462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Bowman, CADC
• Meredith K Bowman, PP, BA
• Jamie Lynn Bowne, LPC
• Brad Alan Bowyer, MD
• Tanya Boyd, NURSE PRACTITIONER
• Susan L Braddy, CRNA
• James Allen Bradfield Sr.
• Srinivas R Bramhadevi, MD
• Kathy Brawner, RN
• Deasia Alexus Bray

• Family Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.