Organization Active NPI

Michael S Conley M.D., P.C.

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1457535155
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MICHAEL S CONLEY M.D., P.C.
Practice address
315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420
Phone
(404) 681-4100
Fax
(404) 681-2300
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Michael Sean ConleyNPI 1316010192
Title
President
Phone
(404) 681-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 043583 GA

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420

Mailing address

315 W Ponce de Leon Ave Ste 1045
Decatur, GA 30030-2420
Phone (404) 681-4100

Other identifiers 4

IdentifierTypeStateIssuer
1457535155OtherGROUP NPI
00752606AMedicaidGA
GRP4459OtherGAMEDICARE GROUP
1316010192OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001079 GA Part B Supplier - Clinic/Group Practice 2860489689 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

315 Boulevard NE
Ste 332
Atlanta, GA 30312
Phone (404) 681-4100

285 Boulevard NE
Ste 315
Atlanta, GA 30312
Phone (404) 643-8223

315 W Ponce de Leon Ave
Ste 1045
Decatur, GA 30030
Phone (404) 681-4100

315 W Ponce de Leon Ave
Ste 360
Decatur, GA 30030
Phone (310) 592-2437

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1457535155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 1045",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302420",
            "telephone_number": "404-681-4100",
            "fax_number": "404-681-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 1045",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302420",
            "telephone_number": "404-681-4100",
            "fax_number": "404-681-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S CONLEY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-681-4100"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "043583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457535155",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752606A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4459",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316010192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.