Active NPI
Michael Carver Belcon, MD
- Rheumatology Physician
- Augusta, GA
National Provider Identifier
1184624876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 075391
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-1450
- Fax
- (706) 721-1402
- NPI assigned
- Jul 26, 2005
- Last updated
- Feb 18, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME 70220 | FL | |
| Internal Medicine Physician | 207R00000X | ME 70220 | FL | |
| Rheumatology Physician | 207RR0500X | ME 70220 | FL | |
| Rheumatology Physician | 207RR0500X | 075391 | GA | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
1499 Walton Way Ste 1400
Augusta, GA 30901-2603
Phone (706) 721-1450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70220 | Other | FL | ME |
| 300947500 | Medicaid | FL | |
| 28996 | Other | FL | BX |
Other names 1
- Dr. Michael C Belcon
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 70220 | FL | MD | Rheumatology Physician |
| 075391 | GA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1184624876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 WALTON WAY STE 1400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012603",
"telephone_number": "706-721-1450",
"fax_number": "706-721-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-1450",
"fax_number": "706-721-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELCON",
"first_name": "MICHAEL",
"middle_name": "CARVER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME 70220",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 70220",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 70220",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "075391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME",
"identifier": "70220",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300947500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX",
"identifier": "28996",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "BELCON",
"middle_name": "C",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.