Active NPI
Michael Andrew Register, D.O.
- Family Medicine Physician
- Ellabell, GA
National Provider Identifier
1174675748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 026924
- Practice address
- 3689 Wilma Edwards Rd
Ellabell, GA 31308-5315 - Phone
- (912) 653-4357
- Fax
- (912) 653-4320
- NPI assigned
- Jan 17, 2007
- Last updated
- Jan 13, 2021
- 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 | 026924 | GA | Primary |
Addresses
Primary practice location
3689 Wilma Edwards Rd
Ellabell, GA 31308-5315
Mailing address
PO Box 1047
Ellabell, GA 31308-1047
Phone (912) 653-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288582981A | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Register DO | Family Medicine | Current | Accepting new patients |
| SJC Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
244 Ledford St
Pembroke, GA 31321
Phone (912) 527-1100
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.
-
dba Neighborhood Health Care
- Family Medicine Physician
- Ellabell, GA
- NPI 1871622548
-
- Family Medicine Physician
- Savannah, GA
- NPI 1811233828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1174675748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1047",
"city": "ELLABELL",
"state": "GA",
"postal_code": "313081047",
"telephone_number": "912-653-4357",
"fax_number": "912-653-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3689 WILMA EDWARDS RD",
"city": "ELLABELL",
"state": "GA",
"postal_code": "313085315",
"telephone_number": "912-653-4357",
"fax_number": "912-653-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGISTER",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2021-01-13",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "026924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288582981A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellabell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.