Active NPI
Michael Lesley Baron, DO
- Family Medicine Physician
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0033273
- Practice address
- 1505 Lilburn Stone MTN Rd
Ste 100
Stone Mountain, GA 30087-1857 - Phone
- (770) 469-1711
- Fax
- (770) 469-1837
- NPI assigned
- Jun 8, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0033273 | GA | Primary |
Addresses
Primary practice location
1505 Lilburn Stone MTN Rd
Ste 100
Stone Mountain, GA 30087-1857
Mailing address
1505 Lilburn Stone MTN Rd
Ste 100
Stone Mountain, GA 30087-1857
Phone (770) 469-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00474779R | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120529000525 | GA | Practitioner - Family Practice | 9638332778 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emory Specialty Associates, LLCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339
966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815
Hospital & facility affiliations
- Centerwell Home Health
- Emory Decatur Hospital
- Emory University Hospital
- Piedmont Eastside Medical Center
- Emory University Hospital Midtown
- Emory Hillandale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033273 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Family Medicine | Current | Accepting new patients |
Locations
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091
1192 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 925-2010
Interoperability endpoints
- mbaron20126@direct.emory.org
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine, GA
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Atlanta, GA
- NPI 1891725693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1104820125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LILBURN STONE MTN RD",
"address_2": "STE 100",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871857",
"telephone_number": "770-469-1711",
"fax_number": "770-469-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 LILBURN STONE MTN RD",
"address_2": "STE 100",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300871857",
"telephone_number": "770-469-1711",
"fax_number": "770-469-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "MICHAEL",
"middle_name": "LESLEY",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "0033273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00474779R",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.