Michael McHaney Demo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN014319 Issued in GA

Practice address

550 Pharr Rd NE
Suite 325
Atlanta, GA 30305-3428

Phone

(404) 233-8221

Fax

(404) 233-5783

NPI assigned

Jun 8, 2008

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  NPD (past)
• Peachtree Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1063471324
  NPD (past)
• Southeast Oral Diagnostics LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Alpharetta, GA
  • NPI 1063378966
  NPD (past)

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1083873640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE",
            "address_2": "SUITE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053428",
            "telephone_number": "404-233-8221",
            "fax_number": "404-233-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE",
            "address_2": "SUITE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053428",
            "telephone_number": "404-233-8221",
            "fax_number": "404-233-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMO",
        "first_name": "MICHAEL",
        "middle_name": "MCHANEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN014319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Charles Demetry, MD
• Senayit Nuguse Demie, MD
• Emanuel Demissie, MD
• Anneke Demmink, MN, MPH, RN
• Erin M Demo, M.S.
• Shenise Rachelle Demons, DPT
• Christamy Demory
• Benjamin David Demoss, M.D.
• Demps Clinical Services
• Kasheena Demps, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.