Individual provider Active NPI

Michael Andrew McHenry, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Newnan, GA
National Provider Identifier
1487730628
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
65285 Issued in GA
Practice address
2201 Newnan Crossing Blvd E Ste 100
Newnan, GA 30265-2551
Phone
(770) 460-4747
Fax
(678) 673-5102
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J8053 TX
Physical Medicine & Rehabilitation Physician 208100000X 38084 IA
Physical Medicine & Rehabilitation Physician 208100000X 7369 SD
Physical Medicine & Rehabilitation Physician 208100000X 65285 GA Primary

Addresses

Primary practice location

2201 Newnan Crossing Blvd E Ste 100
Newnan, GA 30265-2551

Mailing address

900 Circle 75 Pkwy SE
Suite 1700
Atlanta, GA 30339-3035
Phone (770) 953-6929

Other identifiers 6

IdentifierTypeStateIssuer
P00186848OtherTXMEDICARE RAILROAD
0021RJOtherTXBCBS
8AW792OtherTXBCBS
00648DOtherTXBCBS OF TEXAS
1312217-03MedicaidTX
P01099522OtherGARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000399 GA Practitioner - Physical Medicine and Rehabilitation 8325125735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Fayetteville, GA 30214-4537

1265 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4543
Phone (770) 460-1900

2781 Hwy 54
Peachtree City, GA 30269-1063
Phone (770) 460-2296

2785 Hwy 54
Peachtree City, GA 30269-1063
Phone (770) 460-0094

401 Dividend Dr
Peachtree City, GA 30269-1939
Phone (678) 506-1236

620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7369SDMDPhysical Medicine & Rehabilitation Physician
J8053TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC CurrentSince Oct 1, 2012 Accepting new patients
Orthoatlanta, LLC CurrentSince Oct 1, 2012 Accepting new patients
Orthoatlanta, LLC Physical Medicine & Rehabilitation Current Accepting new patients
Piedmont Orthopedics, LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2019 Accepting new patients
Texas Back Institute Physicians P.a. Physical Medicine & Rehabilitation Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations (25 of 44)

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122

455 Legends Pl SE
Ste 890
Atlanta, GA 30339
Phone (404) 418-9090

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303

3672 Marathon Cir
Ste 100
Austell, GA 30106
Phone (678) 945-8525

340 Exchange Blvd
Ste 110
Bethlehem, GA 30620
Phone (770) 532-9023

3929 Peachtree Rd NE
Ste 220
Brookhaven, GA 30319
Phone (678) 684-2220

3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053

970 Joe Frank Harris Pkwy SE
Ste 100
Cartersville, GA 30120
Phone (770) 382-4898

1301 Sigman Rd NE
Ste 125
Conyers, GA 30012
Phone (678) 413-6276

4181 Hospital Dr NE
Ste 401
Covington, GA 30014
Phone (678) 766-8999

2976 Chapel Hill Rd
Ste 200
Douglasville, GA 30135
Phone (770) 949-8558

465 N Belair Rd
Ste 3B
Evans, GA 30809
Phone (706) 312-3668

465 N Belair Rd
Ste 3C
Evans, GA 30809
Phone (706) 620-3635

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

1265 Highway 54 W
Ste 102
Fayetteville, GA 30214
Phone (770) 460-1900

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8785

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

6300 Hospital Pkwy
Ste 475
Johns Creek, GA 30097
Phone (678) 205-4298

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

8225 Mall Pkwy
Ste 110
Lithonia, GA 30038
Phone (678) 723-6434

8225 Mall Pkwy
Ste 150
Lithonia, GA 30038
Phone (770) 482-3241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1487730628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE",
            "address_2": "SUITE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393035",
            "telephone_number": "770-953-6929",
            "fax_number": "770-953-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NEWNAN CROSSING BLVD E STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652551",
            "telephone_number": "770-460-4747",
            "fax_number": "678-673-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8053",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "38084",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "7369",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "65285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00186848",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0021RJ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AW792",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00648D",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312217-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01099522",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.