Active NPI
Michael Lee Fishman, M.D.
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
National Provider Identifier
1508892431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 030061
- Practice address
- 5448 Yorktowne Dr
Suite 127
Atlanta, GA 30349-5317 - Phone
- (678) 251-3184
- Fax
- (770) 997-7534
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 030061 | GA | Primary |
Addresses
Primary practice location
5448 Yorktowne Dr
Suite 127
Atlanta, GA 30349-5317
Mailing address
5448 Yorktowne Dr
Suite 127
Atlanta, GA 30349-5317
Phone (678) 251-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2012 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030061 | GA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1508892431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5448 YORKTOWNE DR",
"address_2": "SUITE 127",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495317",
"telephone_number": "678-251-3184",
"fax_number": "770-997-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5448 YORKTOWNE DR",
"address_2": "SUITE 127",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495317",
"telephone_number": "678-251-3184",
"fax_number": "770-997-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "030061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.