Active NPI
Michael Pierce, ORTHOTIST AND PROSTH
- Prosthetics Case Management
- Athens, GA
National Provider Identifier
1104046101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 000026
- Practice address
- 590 N Milledge Ave
Athens, GA 30601-3810 - Phone
- (706) 549-9709
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 000026 | GA | Primary |
Addresses
Primary practice location
590 N Milledge Ave
Athens, GA 30601-3810
Mailing address
590 N Milledge Ave
Athens, GA 30601-3810
Phone (706) 549-9709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000913503A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000026 | GA | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Orthotics and Prosthetics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Athens, GA
- NPI 1780863126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1104046101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 N MILLEDGE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013810",
"telephone_number": "706-549-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 N MILLEDGE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013810",
"telephone_number": "706-549-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "ORTHOTIST AND PROSTH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "000026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000913503A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.