Individual provider Active NPI

Michael P. Duchynski, M.D.

  • Emergency Medicine Physician
  • Newnan, GA
National Provider Identifier
1346325479
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
71336 Issued in GA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003285 GA Practitioner - Emergency Medicine 7315946092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243463-1NYMDEmergency Medicine Physician
MD429913PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince May 2, 2020 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 PastSince Aug 1, 2011 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC PastSince Oct 7, 2025 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.

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

Verify at the official NPI Registry.