NPIMap

Individual provider Active NPI

Michael Anthony Taormina, M.D.

  • Neurology Physician
  • Statesboro, GA
National Provider Identifier
1629257787
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
040258 Issued in GA
Practice address
1601 Fair Rd Ste 400
Statesboro, GA 30458-1699
Phone
(912) 871-8900
Fax
(912) 871-8901
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 040258 GA Primary

Addresses

Primary practice location

1601 Fair Rd Ste 400
Statesboro, GA 30458-1699

Mailing address

1601 Fair Rd Ste 400
Statesboro, GA 30458-1699
Phone (912) 871-8900

Other identifiers 4

IdentifierTypeStateIssuer
10062139OtherFLAMERIGROUP
000655344DMedicaidGA
342043OtherGAWELLCARE
52676473001OtherGABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000130 GA Practitioner - Neurology 1456387489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Fair Rd
Suite 400
Statesboro, GA 30458-1699
Phone (912) 871-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as individual
Quality
72.85
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040258GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurological Center of East Georgia PC Neurology CurrentSince Mar 29, 1996 Accepting new patients

Locations

1601 Fair Rd
Ste 400
Statesboro, GA 30458
Phone (912) 871-8900

Interoperability endpoints

  • Direct secure messaging: mtaormina@573da810.micromddirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1629257787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD STE 400",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581699",
            "telephone_number": "912-871-8900",
            "fax_number": "912-871-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD STE 400",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581699",
            "telephone_number": "912-871-8900",
            "fax_number": "912-871-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAORMINA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "040258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10062139",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000655344D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "342043",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52676473001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.