Active NPI
Michael L Werner, PA
- Physician Assistant
- Tucker, GA
National Provider Identifier
1114964996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002866
- Practice address
- 1491 Montreal Rd
Tucker, GA 30084-6922 - Phone
- (770) 270-1284
- NPI assigned
- Jun 1, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002866 | GA | Primary |
Addresses
Primary practice location
1491 Montreal Rd
Tucker, GA 30084-6922
Mailing address
68 Peachtree Hills Ave NE
Atlanta, GA 30305-4302
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)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002866 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Past | Accepting new patients | |
| Advanced Anesthesia Associates, PC | Past | Accepting new patients | |
| Northlake Anesthesia Professionals, LLC | Past | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Covington, GA
- NPI 1649260738
-
dba Grady Health System
- Inpatient Hospice
- Atlanta, GA
- NPI 1578611638
-
dba Grady Health Systems
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982637419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114964996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 PEACHTREE HILLS AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303054302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 MONTREAL RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846922",
"telephone_number": "770-270-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Ann Claudette Waters, LPC
- Way to Go Transportation LLC
- Kalesha Uneek Weatherington, M.S., BCBA
- Belinda Weir, M.A CCC-SLP
- Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
- Eric Brodey Wertz, PT, DPT
- Sharmele West-Smith, MASTECTOMY FITTER
- Daniel Russell West, D.D.S.
- Luella Corine Wheeler-Ikuesan, NP-C
- Mary Cailan Wheeler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.