Individual provider Active NPI

Michelle Leigh Nowell, FNP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1619220076
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN175422 Issued in GA
Practice address
540 Hemlock St
Macon, GA 31201-3202
Phone
(478) 743-8953
Fax
(478) 743-1963
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN175422 GA Primary

Addresses

Primary practice location

540 Hemlock St
Macon, GA 31201-3202

Mailing address

540 Hemlock St
Macon, GA 31201-3202
Phone (478) 743-8953

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001067 GA Practitioner - Nurse Practitioner 3072831668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT Center of Central Georgia, P.C. CurrentSince Oct 31, 2022 Accepting new patients
Zoe Center for Pediatric & Adolescent Health, LLC Past Accepting new patients
Macon Orthopaedic & Hand Center, PA Nurse Practitioner Past Accepting new patients
Zoe Pediatric After Hours Care, Inc PastSince Oct 15, 2023 Accepting new patients

Locations

540 Hemlock St
Macon, GA 31201
Phone (478) 743-8953

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1619220076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013202",
            "telephone_number": "478-743-8953",
            "fax_number": "478-743-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013202",
            "telephone_number": "478-743-8953",
            "fax_number": "478-743-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN175422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.