Michael Newberry, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

72016 Issued in GA

Practice address

146 Depot St Ste 202
Blue Ridge, GA 30513-8625

Phone

(321) 727-9063

Fax

(321) 728-1955

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gary M. Weiss, M.D., P.a.

  • Specialist
  • Palm Bay, FL
  • NPI 1003922618
  NPD (past)
• Weiss Medical Associates, PC

  • Specialist
  • Vail, CO
  • NPI 1063627735
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1467569889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JUDGES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053651",
            "telephone_number": "910-791-6767",
            "fax_number": "910-399-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 DEPOT ST STE 202",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138625",
            "telephone_number": "321-727-9063",
            "fax_number": "321-728-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9757 Blue Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Ridge",
            "state": "GA",
            "postal_code": "305134167",
            "country_code": "US",
            "telephone_number": "706-455-2490",
            "fax_number": "706-946-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62341",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "72016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003275728A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003275728C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Valent",
            "affiliation": "N",
            "address_1": "146 Depot St Ste 202",
            "city": "Blue Ridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305138625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• National Response Solutions, LLC
• Natural Healing Concepts, LLC
• Lindsey Stewart Neel
• David Neilsen, MD
• New Ground Care LLC
• Amanda M Newton, M.D.
• Justin Doyle Nicholson, NP-C
• Lindsey Panter Niknezhad, PA-C
• North Georgia Autism Foundation Inc
• North Georgia Physical Therapy

• Addiction Psychiatry Physician in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Addiction Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.