Individual provider Active NPI

Todd Messick, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1427156389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003582 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd NE
Ste 990
Atlanta, GA 30342-1699
Phone
(404) 256-2633
Fax
(404) 255-6532
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003582 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd NE
Ste 990
Atlanta, GA 30342-1699

Mailing address

5670 Peachtree Dunwoody Rd NE
Ste 990
Atlanta, GA 30342-1699
Phone (404) 256-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003582GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Spine & Neurosurgery Center PC Past Accepting new patients
Northside Surgical Professional Services LLC PastSince Jun 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: todd.messick.1@8474.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427156389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 990",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-256-2633",
            "fax_number": "404-255-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 990",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-256-2633",
            "fax_number": "404-255-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK",
        "first_name": "TODD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.