Active NPI
Michael Bock, NP
- Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- GAA-NP004619
- Practice address
- 1348 Walton Way Ste 6400
Augusta, GA 30901-5104 - Phone
- (706) 722-8242
- NPI assigned
- Oct 30, 2024
- Last updated
- May 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | GAA-NP004619 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 120536 | WV |
Addresses
Primary practice location
1348 Walton Way Ste 6400
Augusta, GA 30901-5104
Mailing address
1348 Walton Way Ste 6400
Augusta, GA 30901-5104
Other practice location 1
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5503
Other practice location 2
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Other practice location 3
1306 Kanawha Blvd E
Charleston, WV 25301-3001
Phone (304) 343-4371
Other practice location 4
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Other practice location 5
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
Other practice location 6
1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- West Virginia University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP004619 | GA | MD | Nurse Practitioner |
| 120536 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
Organizations & group practices 3
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1700608635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 WALTON WAY STE 6400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 WALTON WAY STE 6400",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-722-8242"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1306 Kanawha Blvd E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253013001",
"country_code": "US",
"telephone_number": "304-343-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269202",
"country_code": "US",
"telephone_number": "304-757-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 Lee St E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011863",
"country_code": "US",
"telephone_number": "304-388-1800",
"fax_number": "304-388-1825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCK",
"first_name": "MICHAEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP004619",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "120536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.