Individual provider Active NPI

Michael K. McFadden, M.D.

  • Interventional Pain Medicine Physician
  • Hawkinsville, GA
National Provider Identifier
1437156189
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
89324 Issued in GA
Practice address
202 Perry Hwy Ste 101
Hawkinsville, GA 31036-6748
Phone
(478) 892-7246
Fax
(478) 892-7247
NPI assigned
Jul 7, 2005
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 89324 GA Primary
Interventional Pain Medicine Physician 208VP0014X ME166528 FL

Addresses

Primary practice location

202 Perry Hwy Ste 101
Hawkinsville, GA 31036-6748

Mailing address

3356 Vineville Ave
Macon, GA 31204-2328
Phone (478) 476-9886

Other practice location 1

3356 Vineville Ave
Macon, GA 31204-2328
Phone (478) 476-9642

Other practice location 2

3810 Highway 90
Pace, FL 32571-1014
Phone (855) 527-7246

Other identifiers 3

IdentifierTypeStateIssuer
458214OtherHEALTHLINK
000000185016OtherANTHEM
200318550AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211008002336 GA Practitioner - Physical Medicine and Rehabilitation 8820983877 Reassigns benefits to 2 organizations
I20240215001239 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8820983877 Reassigns benefits to 1 organization
I20240417001659 AL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8820983877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

135 Medical Park Dr
Suite 2B
Andalusia, AL 36420-5352
Phone (855) 527-7246

408 Medical Park Dr
Atmore, AL 36502-3016
Phone (855) 527-7246

4901 Market Place Rd
Pensacola, FL 32504-8986
Phone (850) 484-4080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89324GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC Physical Medicine & Rehabilitation CurrentSince Apr 22, 2024 Accepting new patients
Georgia Pain Institute. LLC Interventional Pain Medicine CurrentSince Jun 19, 2023 Accepting new patients
Macon Pain Center, P.C. CurrentSince Jun 27, 2023 Accepting new patients
Gulf Coast Pain Consultants LLC Physical Medicine & Rehabilitation CurrentSince Apr 22, 2024 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Medicine & Rehabilitation Past Accepting new patients
Georgia Pain Institute. LLC Interventional Pain Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

918 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3127

1005 College Blvd W
Ste C
Niceville, FL 32578
Phone (850) 678-3994

3810 Highway 90
Pace, FL 32571
Phone (850) 476-9000

4901 Market Place Rd
Pensacola, FL 32504
Phone (850) 439-5425

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

202 Perry Hwy
Ste 101
Hawkinsville, GA 31036
Phone (478) 783-0200

3356 Vineville Ave
Macon, GA 31204
Phone (478) 476-9642

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Interoperability endpoints

  • Direct secure messaging: michael.mcfadden.1@11679.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1437156189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042328",
            "telephone_number": "478-476-9886",
            "fax_number": "478-476-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PERRY HWY STE 101",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-892-7246",
            "fax_number": "478-892-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3356 Vineville Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312042328",
            "country_code": "US",
            "telephone_number": "478-476-9642",
            "fax_number": "478-476-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325711014",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "833-905-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "MICHAEL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "89324",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME166528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "458214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000185016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200318550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkinsville, GA

Sources for this page

Verify at the official NPI Registry.