Active NPI
Michael Thomas Bianco, D.O.
- Internal Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 67533
- Practice address
- 12315 Crabapple Rd
Suite 108
Alpharetta, GA 30004-6329 - Phone
- (678) 254-2333
- Fax
- (678) 254-2332
- NPI assigned
- Jul 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB09009700 | NJ | |
| Internal Medicine Physician | 207R00000X | 67533 | GA | Primary |
Addresses
Primary practice location
12315 Crabapple Rd
Suite 108
Alpharetta, GA 30004-6329
Mailing address
12315 Crabapple Rd
Suite 108
Alpharetta, GA 30004-6329
Phone (678) 254-2333
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67533 | GA | MD | Internal Medicine Physician |
| 25MB09009700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
Locations
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
Interoperability endpoints
- michael.bianco@1434047938564.direct.elationemr.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Golden Rule Hospice, LLC | Hospice | Contracted Managing Employee | Nov 11, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Alpharetta, GA
- NPI 1689047490
Contracted Managing Employee
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1538390158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE RD",
"address_2": "SUITE 108",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046329",
"telephone_number": "678-254-2333",
"fax_number": "678-254-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE RD",
"address_2": "SUITE 108",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046329",
"telephone_number": "678-254-2333",
"fax_number": "678-254-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB09009700",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "67533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.