Individual provider Active NPI

Michael Scott Schurdell, MD

  • Pain Medicine (Anesthesiology) Physician
  • Rome, GA
National Provider Identifier
1407148091
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
208623 Issued in NC
Practice address
18 Riverbend Dr SW Ste 100
Rome, GA 30161-6019
Phone
(706) 314-1900
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10041532 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X 208623 NC Primary

Addresses

Primary practice location

18 Riverbend Dr SW Ste 100
Rome, GA 30161-6019

Mailing address

145 Kimel Park Dr
Suite 330
Winston Salem, NC 27103-6984
Phone (336) 765-6181

Other practice location 1

1060 Red Bud Rd NE
Calhoun, GA 30701-2081
Phone (706) 314-1919

Other identifiers 1

IdentifierTypeStateIssuer
003209319EMedicaidGA

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
I20160816001562 GA Practitioner - Pain Management 8224347927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Texas Medical School at Houston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5730 Glenridge Dr
Suite 115
Sandy Springs, GA 30328-6141
Phone 40481630002019

790 Church St NE
Suite 550
Marietta, GA 30060-8958
Phone (770) 419-9902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10041532TXMDAnesthesiology Physician
208623NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jul 1, 2016 Accepting new patients
The Physicians Rome Surgery Center Current Accepting new patients
The Physicians' North Atlanta Surgery Center LLC Current Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jul 1, 2016 Accepting new patients

Locations

1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 314-1910

790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902

790 Church St NE
Ste 520
Marietta, GA 30060
Phone (404) 816-3000

18 Riverbend Dr SW
Ste 100
Rome, GA 30161
Phone (706) 290-9999

5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000

Interoperability endpoints

  • Direct secure messaging: michael.schurdell@tphys.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1407148091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR",
            "address_2": "SUITE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036984",
            "telephone_number": "336-765-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW STE 100",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616019",
            "telephone_number": "706-314-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Red Bud Rd NE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307012081",
            "country_code": "US",
            "telephone_number": "706-314-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHURDELL",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10041532",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "208623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209319E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.