Individual provider Active NPI

Michael Terrence Osipow, M.D

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1093910457
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053802 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 605-5000
Fax
(404) 352-8176
NPI assigned
Jun 18, 2007
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 053802 GA
Diagnostic Radiology Physician 2085R0202X 053802 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

1984 Peachtree Rd NW
Ste 505
Atlanta, GA 30309-5219
Phone (404) 352-1409

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000269 GA Practitioner - Diagnostic Radiology 8628160314 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Atlanta PAGroup PAC ID 4486647435, 41 clinicians
Piedmont Community Imaging LLCGroup PAC ID 6406346527, 33 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 357-0456

2040 10TH Ave
Columbus, GA 31901-1461
Phone (706) 322-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
84.83
Improvement activities
40
Cost
79.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053802GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Piedmont Community Imaging, LLC Diagnostic Radiology CurrentSince Oct 27, 2025 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Oct 1, 2009 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Oct 1, 2009 Accepting new patients
Radiology Associates of Atlanta, PA Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Donalsonville Hospital Inc CurrentSince Apr 1, 2007 Accepting new patients
Piedmont Community Imaging, LLC Diagnostic Radiology CurrentSince Oct 27, 2025 Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients
Ty Cobb Healthcare System, Inc Specialist Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1984 Peachtree Rd NW
Ste 505
Atlanta, GA 30309
Phone (404) 352-1409

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

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1093910457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 PEACHTREE RD NW",
            "address_2": "STE 505",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095219",
            "telephone_number": "404-352-1409",
            "fax_number": "404-352-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-605-5000",
            "fax_number": "404-352-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIPOW",
        "first_name": "MICHAEL",
        "middle_name": "TERRENCE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "053802",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "053802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.