Individual provider Active NPI

Michael Peter Sinnott, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Decatur, GA
National Provider Identifier
1477720522
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
80899 Issued in GA
Practice address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone
(404) 501-1000
Fax
(404) 297-0444
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 80899 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

PO Box 1457
Bluefield, WV 24701-1457
Phone (304) 323-4320

Other practice location 1

9500 Euclid avenue
department of pathology-L25
Cleveland, OH 44195
Phone (216) 346-7398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA, LA3 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
I20120615000011 IN Practitioner - Pathology 8820252216 Reassigns benefits to 1 organization
I20190515000082 GA Practitioner - Pathology 8820252216
I20241116000020 LA Practitioner - Pathology 8820252216 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Oct 15, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Administrators of the Tulane Education Fund Anatomic Pathology & Clinical Pathology CurrentSince Oct 15, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

350 W 11th St
Indianapolis, IN 46202
Phone (317) 274-2476

350 W 11th St
Rm 6016
Indianapolis, IN 46202
Phone (317) 491-6000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1430 Tulane Ave
#8422
New Orleans, LA 70112
Phone (504) 422-3545

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

Organizations & group practices 5

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1477720522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011457",
            "telephone_number": "304-323-4320",
            "fax_number": "304-323-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-1000",
            "fax_number": "404-297-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid avenue",
            "address_2": "department of pathology-L25",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44195",
            "country_code": "US",
            "telephone_number": "216-346-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINNOTT",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "80899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.