Individual provider Active NPI

Michael Sean Conley, M.D.

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1316010192
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
043583 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420
Phone
(404) 681-4100
Fax
(404) 681-2300
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 043583 GA Primary
Geriatric Psychiatry Physician 2084P0805X 043583 GA

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420

Mailing address

315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420
Phone (404) 681-4100

Other identifiers 1

IdentifierTypeStateIssuer
000752606AMedicaidGA

Other names 1

  • Michael S Conley M.D., P.C. Professional name

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
I20111109000746 GA Practitioner - Psychiatry 9436322393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 W Ponce de Leon Ave
Suite 1045
Decatur, GA 30030-2420
Phone (404) 681-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Conley M.D., P.C. Psychiatry CurrentSince Apr 1, 2001 Accepting new patients
Amitha Dhingra LLC Psychiatry Past Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients

Locations

285 Boulevard NE
Ste 315
Atlanta, GA 30312
Phone (404) 643-8223

315 W Ponce de Leon Ave
Ste 1045
Decatur, GA 30030
Phone (404) 681-4100

315 W Ponce de Leon Ave
Ste 360
Decatur, GA 30030
Phone (310) 592-2437

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1316010192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 1045",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302420",
            "telephone_number": "404-681-4100",
            "fax_number": "404-681-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 1045",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302420",
            "telephone_number": "404-681-4100",
            "fax_number": "404-681-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "043583",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "043583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752606A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CONLEY M.D., P.C.",
            "middle_name": "S",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.