J. Michael Petway, M.D., P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21271 Issued in GA

Legal business name

J. MICHAEL PETWAY, M.D., P.C.

Practice address

106 Pilgrim Village Dr
Suite 400
Cumming, GA 30040-9241

Phone

(770) 886-6718

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Petway, M.D., F.C.C. P.

Title

Ceo

Phone

(770) 886-6718

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205539200000",
    "number": "1578734893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 LAKELAND PLZ",
            "address_2": "SUITE #158",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402783",
            "telephone_number": "770-886-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PILGRIM VILLAGE DR",
            "address_2": "SUITE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409241",
            "telephone_number": "770-886-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL PETWAY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-15",
        "status": "A",
        "authorized_official_last_name": "PETWAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-886-6718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.C.C. P."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "21271",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "21271",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "21271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Irvine, RN
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• John Kennedy Iskander, M.D.
• Shifa Ismail
• Ja Approved Home Care LLC
• Kelly Michelle Jacchia, CPNP
• Angela Jackson, PHARM.D.
• Celeste Jackson
• Chandler Jackson, OTR/L

• Pulmonary Disease Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.