Michael A Secor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003048 Issued in GA

Practice address

3000 Shakerag HL
Peachtree City, GA 30269-3365

Phone

(770) 631-9999

Fax

(770) 631-2415

NPI assigned

Dec 26, 2006

Last updated

May 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Physician Assistant

State licenses

Practice roles

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.

• Neurology Associates, P.C.

  • Specialist
  • Fayetteville, GA
  • NPI 1225314982
  Medicare reassignment
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460

  Physician Assistant

  NPD (past)
• The Doctor's Office, LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1578884516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1194880773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814953",
            "telephone_number": "678-284-6300",
            "fax_number": "678-284-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SHAKERAG HL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693365",
            "telephone_number": "770-631-9999",
            "fax_number": "770-631-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOR",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Sclafani
• Evgenia Korytnaya Scott, M.D.
• Imani Scott, PT, DPT
• Rosonja Seay, LPC
• Anna Seccuro, RN, SRNA
• Elliott Marshall Segal, DC
• Christine A. Sena, PT
• Serenity Tree Senoia LLC
• Rahul N. Shah, RPH
• Shailesh Patel MD LLC

• Physician Assistant in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.

Verify at the official NPI Registry.