Michael W Clifford, MD
Individual provider Active NPI General Practice Physician · Colquitt, GA
NPI 1508800475 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1508800475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 037508 (GA)
- Practice address
- 208 N Cuthbert St
Miller County Medical Center
Colquitt, GA 39837-3517 - Phone
- (229) 758-3344
- Fax
- (229) 758-6622
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037508 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Cardiology Clinic Inc. | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 037508 | GA | Yes |
Addresses
Primary practice location
208 N Cuthbert St
Miller County Medical Center
Colquitt, GA 39837-3517
Mailing address
208 N Cuthbert St
Colquitt, GA 39837-3517
Phone (229) 758-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000579543C | Medicaid | GA |
Other providers in Colquitt, GA
- Brand Professional Services Inc
- David Lamar Brand Jr.
- Shabreka Wil'Nesha Butler
- Chapman Family Dentistry LLC
- Courtney Grace Clanton
- Janna H Cobb
- Colquitt Alternative Care, Inc
- Colquitt Complete Care LLC
- Colquitt Dental Care,LLC
- Colquitt Pharmacy LLC
All providers in Colquitt, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.