Individual provider Active NPI

Amy Diane Kuhmichel, D.M.D

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Atlanta, GA
National Provider Identifier
1083889661
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN013687 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 221
Atlanta, GA 30327-4100
Phone
(404) 892-2999
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN013687 GA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN013687 GA

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 221
Atlanta, GA 30327-4100

Mailing address

5505 Peachtree Dunwoody Rd NE
Suite 660
Atlanta, GA 30342-1705
Phone (404) 220-7505

Other practice location 1

5505 Peachtree Dunwoody Rd Ste 660
Atlanta, GA 30342-2018
Phone (404) 220-7506

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120714000028 GA Practitioner - Oral Surgery 7214192400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN013687GAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2012 Accepting new patients
Emory Medical Care Foundation CurrentSince Jul 1, 2012 Accepting new patients
Peachtree Dunwoody Oral and Facial Surgery Oral and Maxillofacial Surgery PastSince Jul 25, 2019 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Ste B2300
Atlanta, GA 30322

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: akuhmichel14490@choa.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1083889661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 660",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-220-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274100",
            "telephone_number": "404-892-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Peachtree Dunwoody Rd Ste 660",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303422018",
            "country_code": "US",
            "telephone_number": "404-220-7506",
            "fax_number": "404-220-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHMICHEL",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "DN013687",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN013687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.