Active NPI
Michael Nordsiek, DO
- Urology Physician
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 82881
- Practice address
- 10730 Medlock Bridge Rd Ste 700
Johns Creek, GA 30097-2637 - Phone
- (470) 579-5600
- NPI assigned
- Jun 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2017-02525 | NC | |
| Urology Physician | 208800000X | 82881 | GA | Primary |
Addresses
Primary practice location
10730 Medlock Bridge Rd Ste 700
Johns Creek, GA 30097-2637
Mailing address
1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900
Other practice location 1
501 Crownpointe Way
Lawrenceville, GA 30046-7702
Phone (678) 344-8900
Other practice location 2
3075 Ronald Reagan Blvd Ste 501
Cumming, GA 30041-6052
Phone (678) 344-8900
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
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Piedmont Eastside Medical Center
- Northside Hospital Forsyth
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 69.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology of Ga-East, PC | Urology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia | Urology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia | Urology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia, PC | Urology | Current | Accepting new patients |
Locations
2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654
2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078
1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622
3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000
2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162
2711 Irvin Way
Ste 102
Decatur, GA 30030
10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956
10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097
501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583
1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579
1371 Church Street Ext NE
#100
Marietta, GA 30060
11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973
11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156
1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280
1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102
1551 Janmar Rd
Snellville, GA 30078
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
Organizations & group practices 4
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.
-
- Urology Physician
- Snellville, GA
- NPI 1437840154
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Urology Physician
- Johns Creek, GA
- NPI 1598218570
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1376982124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785606",
"telephone_number": "678-344-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 MEDLOCK BRIDGE RD STE 700",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972637",
"telephone_number": "470-579-5600"
}
],
"practiceLocations": [
{
"address_1": "501 Crownpointe Way",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467702",
"country_code": "US",
"telephone_number": "678-344-8900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3075 Ronald Reagan Blvd Ste 501",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300416052",
"country_code": "US",
"telephone_number": "678-344-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDSIEK",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2017-02525",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "82881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.