Active NPI
Michael Edward Hilton, MD
- Pediatrics Physician
- Gainesville, GA
National Provider Identifier
1376645358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 052581
- Practice address
- 1485 Jesse Jewell Pkwy NE
Ste 200
Gainesville, GA 30501-3806 - Phone
- (770) 534-5255
- Fax
- (770) 287-3871
- NPI assigned
- Sep 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 052581 | GA | Primary |
Addresses
Primary practice location
1485 Jesse Jewell Pkwy NE
Ste 200
Gainesville, GA 30501-3806
Mailing address
1485 Jesse Jewell Pkwy NE
Ste 200
Gainesville, GA 30501-3806
Phone (770) 534-5255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764599238F | Medicaid | GA | |
| 764599238G | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates LLP | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Gainesville, GA
- NPI 1245406719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1376645358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 JESSE JEWELL PKWY NE",
"address_2": "STE 200",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013806",
"telephone_number": "770-534-5255",
"fax_number": "770-287-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 JESSE JEWELL PKWY NE",
"address_2": "STE 200",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013806",
"telephone_number": "770-534-5255",
"fax_number": "770-287-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTON",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "052581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764599238F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764599238G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.