NPIMap

Organization Active NPI

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

  • Pulmonary Disease Physician
  • Cumming, GA
National Provider Identifier
1578734893
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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.NPI 1154319952
Title
Ceo
Phone
(770) 886-6718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 21271 GA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 21271 GA Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 21271 GA

Addresses

Primary practice location

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

Mailing address

562 Lakeland PLZ
Suite #158
Cumming, GA 30040-2783
Phone (770) 886-6718

National Provider Directory

National Provider Directory

Locations

327 Dahlonega St
Ste 804
Cumming, GA 30040
Phone (770) 886-6718

562 Lakeland Plz
Ste 158
Cumming, GA 30040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Cumming, GA

Sources for this page

  • 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.