Active NPI
Michael David Pointer, PA-C
- Medical Physician Assistant
- Fort Moore, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4134
- Practice address
- 6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102 - Phone
- (762) 408-1480
- Fax
- (762) 408-8148
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-359 | AL | |
| Medical Physician Assistant | 363AM0700X | 4134 | GA | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone (762) 408-1480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00232956 | Other | GA | RAILROAD MEDICARE |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842 | GA | MD | Genetic Counselor (M.S.) |
| 004134 | GA | MD | Occupational Therapist |
| PA-359 | AL | MD | Medical Physician Assistant |
| 4134 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| St. Francis Orthopaedic Institute LLC | Current | Accepting new patients | |
| Frontera Strategies, LLC | Past | Accepting new patients |
Locations
1538 13th Ave
Ste B300
Columbus, GA 31901
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
Interoperability endpoints
- michael.pointer@sfhga.gadirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Hospitalist Physician
- Columbus, GA
- NPI 1215442173
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1003321969
-
- Hospitalist Physician
- Columbus, GA
- NPI 1639681851
-
- Orthopaedic Surgery of the Spine Physician
- Columbus, GA
- NPI 1952707820
-
- Physiological Laboratory
- Irving, TX
- NPI 1437547403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1225078728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-1480",
"fax_number": "762-408-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "762-408-1480",
"fax_number": "762-408-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINTER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AL",
"license": "PA-359",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "4134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00232956",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.