Michael D Poole, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

030190 Issued in GA

Practice address

5356 Reynolds St
Suite 505
Savannah, GA 31405-6106

Phone

(912) 644-5300

Fax

(912) 644-5260

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpoole@gent2091.srs-direct.com

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.

• Candler ENT Practice, LLC

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1477969749
  Medicare reassignment NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1376561142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "SUITE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056106",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST",
            "address_2": "SUITE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056106",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "25083",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "030190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000364064M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Polson, PSY.D.
• Haley Pon
• Ellie Marie Pontiakos, PA-C
• Ashley Poole
• Imani Poole, LCSW
• Sarah Elizabeth Poole, PHARMD
• Jannie Pope
• Jason S Pope, MD
• Myra McCoy Pope, M.D.
• Linda Poppell-Smith, M.ED., CCC-SLP

• Otolaryngology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.

Verify at the official NPI Registry.