Active NPI
Michael D'Angelo Hemingway
- Behavior Technician
- McDonough, GA
National Provider Identifier
1245000751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACBB49834
- Practice address
- 2251 Highway 42 N
McDonough, GA 30253-4735 - Phone
- (770) 865-7722
- NPI assigned
- Jan 5, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACBB49834 | GA | Primary |
Addresses
Primary practice location
2251 Highway 42 N
McDonough, GA 30253-4735
Mailing address
190 Country Roads Dr
Stockbridge, GA 30281-1365
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACBB49834 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1245000751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 COUNTRY ROADS DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302811365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 HIGHWAY 42 N",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534735",
"telephone_number": "770-865-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMINGWAY",
"first_name": "MICHAEL",
"middle_name": "D'ANGELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "BACBB49834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
- Heaven Sent Second Chance Transitional Safehouse
- Darlene Delilah Heaven, M.S., BCBA
- Denise Hedgeman, OTR/L
- Sarah Hedrick
- Helping Hand Homes and Services, LLC
- Henry County Board of Health
- Henry County Commissioner of Roads and Revenues
- Henry County School System
- Henson and Bidgoly LLLP
- Heritage Family Practice, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.