Individual provider Active NPI

Michaela Marie Sejdic, PA

  • Physician Assistant
  • Canton, GA
National Provider Identifier
1699345827
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010122RX Issued in OH
Practice address
1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone
(770) 442-1911
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 50.010122RX OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266

Mailing address

3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005-4414
Phone (770) 518-4406

Other practice location 1

4207 Gantz Rd
Grove City, OH 43123-2993
Phone (732) 335-6515

Other practice location 2

5031 Forest Dr Ste C
New Albany, OH 43054-7088
Phone (732) 335-6515

Other practice location 3

450 Alkyre Run Ste 340
Westerville, OH 43082-6911
Phone (732) 335-6515

Other practice location 4

4643 Leap Court
Hilliard, OH 43026-8968
Phone (732) 335-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220317000723 GA Practitioner - Physician Assistant 0648665224 Reassigns benefits to 1 organization
I20241017003853 TN Practitioner - Physician Assistant 0648665224 Reassigns benefits to 1 organization
I20260507001868 OH Practitioner - Physician Assistant 0648665224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1237 Cromartie LN
Columbus, OH 43201-3888

5031 Forest Dr
Suite C
New Albany, OH 43054-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.010122RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

3403 S Church St
Ste D
Murfreesboro, TN 37127
Phone (615) 546-0015

Organizations & group practices 5

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1699345827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054414",
            "telephone_number": "770-518-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154266",
            "telephone_number": "770-442-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 Gantz Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232993",
            "country_code": "US",
            "telephone_number": "732-335-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5031 Forest Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430547088",
            "country_code": "US",
            "telephone_number": "732-335-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Alkyre Run Ste 340",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430826911",
            "country_code": "US",
            "telephone_number": "732-335-6515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4643 Leap Court",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268968",
            "country_code": "US",
            "telephone_number": "732-335-6515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEJDIC",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010122RX",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.