Individual provider Active NPI

Michael Q. Fite, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1255355087
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50368 Issued in GA
Practice address
22 14TH St NW
Atlanta, GA 30309-4688
Phone
(404) 814-0923
Fax
(415) 680-1525
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD170487 OR
Family Medicine Physician 207Q00000X 50368 GA Primary

Addresses

Primary practice location

22 14TH St NW
Atlanta, GA 30309-4688

Mailing address

6420 SW Macadam Ave
Suite 300
Portland, OR 97239-3507

Other practice location 1

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone (202) 627-1901

Other practice location 2

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

Other identifiers 1

IdentifierTypeStateIssuer
500692319MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070510000494 GA Practitioner - Family Practice 8729053798 Reassigns benefits to 2 organizations
I20230930000641 DC Practitioner - Family Practice 8729053798 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50368GAMDFamily Medicine Physician
MD170487ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Oct 15, 2019 Accepting new patients
Emory Physicians Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Memorial Hermann Health System Family Medicine Past Accepting new patients

Locations

1175 Cascade Pkwy SW
Atlanta, GA 30311
Phone (404) 505-4006

950 Battery Ave SE
Ste 1216
Atlanta, GA 30339
Phone (404) 504-6554

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1255355087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094688",
            "telephone_number": "404-814-0923",
            "fax_number": "415-680-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361728",
            "country_code": "US",
            "telephone_number": "202-627-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITE",
        "first_name": "MICHAEL",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD170487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "50368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500692319",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.