Individual provider Active NPI

Michael John Sylvester, MD

  • Otolaryngic Allergy Physician
  • Fayetteville, GA
National Provider Identifier
1245767383
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
95856 Issued in GA
Practice address
1240 Highway 54 W Ste 710
Fayetteville, GA 30214-4565
Phone
(770) 991-2800
NPI assigned
May 19, 2017
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301502978 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301112579 MI
Otolaryngic Allergy Physician 207YX0602X 95856 GA Primary

Addresses

Primary practice location

1240 Highway 54 W Ste 710
Fayetteville, GA 30214-4565

Mailing address

1240 Highway 54 W Ste 710
Fayetteville, GA 30214-4565
Phone (770) 991-2800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009000316 GA Practitioner - Otolaryngology 7113294117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Atlanta Ear Nose and Throat PCGroup PAC ID 7113908302, 12 clinicians

Practice addresses (Care Compare)

830 Eagles Landing Pkwy
Suite 102
Stockbridge, GA 30281-7366
Phone (678) 534-5922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301502978MIMDOtolaryngology Physician
95856GAMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 24, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 24, 2023 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 24, 2023 Accepting new patients
South Atlanta Ear Nose & Throat, PC CurrentSince Aug 1, 2024 Accepting new patients
ENT of Georgia, LLC Otolaryngology CurrentSince Aug 1, 2024 Accepting new patients
Emory Health Care Past Accepting new patients
South Atlanta Ambulatory Surgical Center, LLC Past Accepting new patients
Piedmont Medical Care Corporation PastSince Aug 1, 2024 Accepting new patients

Locations

1218 W Paces Ferry Rd NW
Ste 208
Atlanta, GA 30327
Phone (770) 991-2800

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

550 Peachtree St NE
Ste 1135
Atlanta, GA 30308
Phone (404) 525-7409

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144

1240 Highway 54 W
Ste 710
Fayetteville, GA 30214
Phone (678) 534-3309

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

830 Eagles Landing Pkwy
Ste 102
Stockbridge, GA 30281
Phone (770) 389-0000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.518
  • Direct secure messaging: michael.sylvester.1@27014.direct.athenahealth.com
  • Direct secure messaging: msylvester705389@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1245767383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 HIGHWAY 54 W STE 710",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144565",
            "telephone_number": "770-991-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301502978",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301112579",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "GA",
            "license": "95856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.