Donnie L McMickle, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

039176 Issued in GA

Practice address

777 Hemlock St
Macon, GA 31201-2102

Phone

(866) 507-5244

Fax

(855) 851-4405

NPI assigned

Jun 20, 2006

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

Other identifiers 1

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

Specialty

AnesthesiologyAlso: Interventional Pain Management, Pain Management

Education

Medical College of Georgia School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Guardian Medical Services LLCGroup PAC ID 8325347735, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
• Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAGGAA

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.

• Guardian Medical Services, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1255786521
  Medicare reassignment Care Compare group NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment Care Compare group NPD
• Albany Anesthesia Associates,PC

  dba Albany Anesthesia Associates,PC/AAA Consortium

  • Anesthesiology Physician
  • Albany, GA
  • NPI 1144235615
  NPD (past)
• Central Georgia Pulmonary Associates, LLC

  • Pulmonary Disease Physician
  • Macon, GA
  • NPI 1669521902
  NPD (past)
• Medical Center Anesthesiology of Athens

  • Anesthesiology Physician
  • Athens, GA
  • NPI 1003863291
  NPD (past)
• Meridian Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1700180122
  NPD (past)
• The Nexus Medical Group, LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1801822515
  NPD (past)

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

• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Care Compare affiliation
• Upson County Hospital Inc

  dba Upson Regional Medical Center

  • General Acute Care Hospital
  • Thomaston, GA
  • NPI 1659376630
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1306881438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "866-507-5244",
            "fax_number": "855-851-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICKLE",
        "first_name": "DONNIE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "039176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743168C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Fortson McLendon, NP
• Taylor Wright McLendon
• Abey Mary Jessie McLeod
• Albert Miller McManus IV, AGACNP-BC
• Alice Olivia McMichael, MD
• Kwanza McMillian, RBT
• Bryan McMullen, LAMFT
• Sara McNease, PHARMD
• Melissa C. McPhail, FNP-BC
• Katie Lauren McLemore McQueen Amaker, M.D.

• Anesthesiology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.