Individual provider Active NPI

Aaron Michael Fletcher, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1699972018
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
072750 Issued in GA
Practice address
1106 Hospital Dr
Stockbridge, GA 30281-6381
Phone
(678) 902-9495
Fax
(678) 815-1548
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R8157 IA
Otolaryngology Physician 207Y00000X 4301102731 MI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 072750 GA Primary

Addresses

Primary practice location

1106 Hospital Dr
Stockbridge, GA 30281-6381

Mailing address

1106 Hospital Dr
Stockbridge, GA 30281-6381
Phone (678) 902-9495

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
I20141217001094 GA Practitioner - Otolaryngology 2264674811 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8157IAMDOtolaryngology Physician
4301102731MIMDOtolaryngology Physician
072750GAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron M. Fletcher MD PC Otolaryngology CurrentSince Jun 1, 2016 Accepting new patients

Locations

1106 Hospital Dr
Stockbridge, GA 30281
Phone (678) 289-2003

Interoperability endpoints

  • Direct secure messaging: afletcher@gcfenat-ga.direct.office.nextgen.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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1106 Hospital Dr
Stockbridge, GA 30281-6381
Phone (678) 902-9495

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1699972018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-902-9495",
            "fax_number": "678-815-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-902-9495",
            "fax_number": "678-815-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "R8157",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301102731",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "072750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.