Individual provider Active NPI

Michael Masami Makii, MD

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1316917768
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
060001 Issued in GA
Practice address
770 Pine St
Ste 140
Macon, GA 31201-2173
Phone
(478) 633-1821
Fax
(478) 633-5180
NPI assigned
Jan 26, 2006
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 060001 GA Primary

Addresses

Primary practice location

770 Pine St
Ste 140
Macon, GA 31201-2173

Mailing address

770 Pine St
Ste 140
Macon, GA 31201-2173
Phone (478) 633-1821

Other identifiers 1

IdentifierTypeStateIssuer
200041690AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060001GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmakii1141799@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1316917768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "STE 140",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012173",
            "telephone_number": "478-633-1821",
            "fax_number": "478-633-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "STE 140",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012173",
            "telephone_number": "478-633-1821",
            "fax_number": "478-633-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKII",
        "first_name": "MICHAEL",
        "middle_name": "MASAMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "060001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.