Individual provider Active NPI

Michael G. Hartman, M.D.

  • Neurological Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1659377620
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
033350 Issued in GA
Practice address
9635 Ventana Way Ste 201
Johns Creek, GA 30022-8622
Phone
(404) 446-4424
Fax
(404) 446-4420
NPI assigned
Jun 24, 2005
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 033350 GA Primary

Addresses

Primary practice location

9635 Ventana Way Ste 201
Johns Creek, GA 30022-8622

Mailing address

11877 Douglas Rd Ste 102-272
Alpharetta, GA 30005-4325
Phone (404) 446-4424

Other practice location 1

203 Oakside Ln Ste A
Canton, GA 30114-6407
Phone (404) 446-4424

Other identifiers 1

IdentifierTypeStateIssuer
000436015AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000654 GA Practitioner - Neurosurgery 5799783494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Toledo College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Brain and Spine CenterGroup PAC ID 0042351025, 3 clinicians

Practice addresses (Care Compare)

9635 Ventana Way
Suite 201
Johns Creek, GA 30022-8622
Phone (404) 446-4424

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Brain & Spine Center Neurological Surgery CurrentSince Sep 2, 2019 Accepting new patients
Atlanta Neurosurgical Associates, P.a. Neurological Surgery PastSince Jul 1, 1966 Accepting new patients

Locations

11877 Douglas Rd
#102272
Johns Creek, GA 30005

11877 Douglas Rd
Ste 102272
Johns Creek, GA 30005

9635 Ventana Way
Ste 201
Johns Creek, GA 30022
Phone (404) 446-4424

4385 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (770) 349-9861

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCDDAD/Endpoint/JCDDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1659377620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 DOUGLAS RD STE 102-272",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054325",
            "telephone_number": "404-446-4424",
            "fax_number": "404-446-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 VENTANA WAY STE 201",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228622",
            "telephone_number": "404-446-4424",
            "fax_number": "404-446-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Oakside Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301146407",
            "country_code": "US",
            "telephone_number": "404-446-4424",
            "fax_number": "404-446-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "033350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000436015A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.