Active NPI
Michael Levine, MD
- Gastroenterology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12932
- Practice address
- 2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8664 - Phone
- (770) 612-8165
- Fax
- (770) 612-8195
- NPI assigned
- Dec 2, 2005
- Last updated
- Jul 14, 2011
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12932 | GA | Primary |
Addresses
Primary practice location
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8664
Mailing address
550 Peachtree St NE
Suite 1620
Atlanta, GA 30308-2209
Phone (404) 885-7701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011261E | 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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Ohio State University College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Northside Hospital Forsyth
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 44.91
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
Locations
550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
900 Towne Lake Pkwy
Ste 308
Woodstock, GA 30189
Phone (770) 926-5459
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
- michael.levine@ud.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
dba Atlanta Gastroenterology Associates
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1154305191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082209",
"telephone_number": "404-885-7701",
"fax_number": "404-885-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 WINDY HILL RD SE",
"address_2": "SUITE 102",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678664",
"telephone_number": "770-612-8165",
"fax_number": "770-612-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "12932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000011261E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.