Individual provider Active NPI

Michael W. Quinn, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Augusta, GA
National Provider Identifier
1306993886
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
061325 Issued in GA
Practice address
3614 J. Dewey Gray Circle
BLDG B.
Augusta, GA 30909
Phone
(706) 504-4651
Fax
(706) 504-4639
NPI assigned
Jan 5, 2007
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20750 NE
Pulmonary Disease Physician 207RP1001X 061325 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 061325 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 061325 GA Primary

Addresses

Primary practice location

3614 J. Dewey Gray Circle
BLDG B.
Augusta, GA 30909

Mailing address

3614 J. Dewey Gray Circle
BLDG B.
Augusta, GA 30909
Phone (706) 504-4651

Other identifiers 1

IdentifierTypeStateIssuer
003123489FMedicaidGA

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
I20110303000929 GA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 4587846068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burn Critical Care Associates LLCGroup PAC ID 6204103625, 10 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Burn Unit
Augusta, GA 30909-6521
Phone (706) 651-3232

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061325GAMDCritical Care Medicine (Internal Medicine) Physician
20750NEMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burn Critical Care Associates, LLC Critical Care Medicine CurrentSince May 1, 2017 Accepting new patients
Ashwins, LLC Past Accepting new patients

Locations

3614 J Dewey Gray Cir
Ste B
Augusta, GA 30909
Phone (706) 364-3470

3624 J Dewey Gray Cir
Ste 304
Augusta, GA 30909

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3660 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 210-8884

Interoperability endpoints

  • Direct secure messaging: michael.quinn@hca5.eclinicaldirectplus.com
  • Direct secure messaging: michael.quinn@westgahealth.gadirect.net

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1306993886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 J. DEWEY GRAY CIRCLE",
            "address_2": "BLDG B.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 J. DEWEY GRAY CIRCLE",
            "address_2": "BLDG B.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NE",
            "license": "20750",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "061325",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "061325",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "061325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123489F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.