Active NPI
Michael P. Duchynski, M.D.
- Emergency Medicine Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 71336
- Practice address
- 1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416 - Phone
- (770) 502-2112
- Fax
- (770) 502-2113
- NPI assigned
- Oct 26, 2006
- Last updated
- Aug 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD429913 | PA | |
| Emergency Medicine Physician | 207P00000X | 243463-1 | NY | |
| Emergency Medicine Physician | 207P00000X | 71336 | GA | Primary |
Addresses
Primary practice location
1825 Highway 34 E Ste 1200
Newnan, GA 30265-6416
Mailing address
116 Northgate Preserve Dr
Newnan, GA 30265-1516
Phone (607) 438-0631
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243463-1 | NY | MD | Emergency Medicine Physician |
| MD429913 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| Chemung Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Bloomsburg Physicians Services | Past | Accepting new patients | |
| Michael Cilip Jr | Past | Accepting new patients | |
| Prisma Health Urgent Care of South Carolina, PC | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
3350 Riverwood Pkwy SE
Ste 1850
Atlanta, GA 30339
Phone (770) 809-3036
749 Lanier Ave W
Ste 1850
Fayetteville, GA 30214
Phone (770) 835-4925
1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2112
Organizations & group practices 6
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.
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Family Medicine Physician
- Bloomsburg, PA
- NPI 1457543290
-
dba Arnot Medical Services
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
Emergency Medicine
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
-
dba Prisma Health Urgent Care
- Urgent Care Clinic/Center
- Greenville, SC
- NPI 1851000855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1346325479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 NORTHGATE PRESERVE DR",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651516",
"telephone_number": "607-438-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 HIGHWAY 34 E STE 1200",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302656416",
"telephone_number": "770-502-2112",
"fax_number": "770-502-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHYNSKI",
"first_name": "MICHAEL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD429913",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "243463-1",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "71336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.