Michel Jeannot

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

065686 Issued in GA

Practice address

101 Tara Commons Dr
Loganville, GA 30052-8018

Phone

(678) 928-9700

Fax

(770) 466-1585

NPI assigned

Jan 20, 2009

Last updated

Dec 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michel Jeannot Professional name

Medicare fee-for-service enrollment

Enrolled in GA, WV2 enrollments

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 2

Specialty

Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Physicians Staffing SolutionsGroup PAC ID 8123266400, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Dodge County Hospital Hospital, Eastman, GA, CCN 110092
• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECJDBA/Endpoint/ECJDBA
• Direct secure messaging: michel.jeannot.1@19776.direct.athenahealth.com

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.

• Physicians Staffing Solutions

  • Pulmonary Disease Physician
  • Dublin, GA
  • NPI 1205174182
  Medicare reassignment Care Compare group NPD
• Walton Pulmonary & Sleep Medicine PC

  • Pulmonary Disease Physician
  • Loganville, GA
  • NPI 1679871099
  Medicare reassignment NPD Authorized official
• St. Francis Physician Practices LLC

  dba St. Francis Primary Care

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725
  Medicare reassignment NPD
• St Francis Physician Practices LLC

  dba St. Francis Neurology

  • Neurology Physician
  • Columbus, GA
  • NPI 1407221849
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• Boone Memorial Hospital, Inc

  dba BMH Comfort Clinic

  • Rural Health Clinic/Center
  • Comfort, WV
  • NPI 1407421431
  NPD
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  NPD
• Boone Memorial Hospital, Inc

  dba BMH Brighter Futures

  • Psychiatry Physician
  • Madison, WV
  • NPI 1871141366
  NPD

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

• Dodge County Hospital Authority

  dba Dodge County Hospital

  • Rural Acute Care Hospital
  • Eastman, GA
  • NPI 1740272095
  Care Compare affiliation
• Fairview Park, Limited Partnership

  dba Fairview Park Hospital

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1700023330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "678-928-9700",
            "fax_number": "770-466-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "678-928-9700",
            "fax_number": "770-466-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANNOT",
        "first_name": "MICHEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200901094",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "065686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109685A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHEL",
            "last_name": "JEANNOT",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Jackson, APRN
• Stephanie D Jackson, RN
• Rasid Jakupovic
• Emily Jannine Jamshedi, PA-C
• JD Preferred Home Care Agency LLC
• Jeffrey Bryce Carter DDS LLC
• Joanne Jervis-Viville, LPN
• JL Community Services, Inc
• Reema John
• Bendu Malynda Johnson, FNP-C

• Pulmonary Disease Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.