Active NPI
Michael E McConnell, M.D.
- Pediatric Cardiology Physician
- Stockbridge, GA
National Provider Identifier
1679523435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 048796
- Practice address
- 202 Village Ctr Parkway
Stockbridge, GA 30281 - Phone
- (404) 256-2593
- Fax
- (678) 547-1494
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 048796 | GA | Primary |
Addresses
Primary practice location
202 Village Ctr Parkway
Stockbridge, GA 30281
Mailing address
2835 Brandywine Rd
#300
Atlanta, GA 30341
Phone (770) 488-9212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00488166A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Healthcare of Atlanta Cardiology Inc | Pediatric Cardiology | Past | Accepting new patients |
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.
-
- Pediatric Cardiology Physician
- Atlanta, GA
- NPI 1235148727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1679523435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 BRANDYWINE RD",
"address_2": "#300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30341",
"telephone_number": "770-488-9212",
"fax_number": "770-488-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 VILLAGE CTR PARKWAY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "404-256-2593",
"fax_number": "678-547-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "GA",
"license": "048796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00488166A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.