Individual provider Active NPI

Michael D Michel, MD

  • Emergency Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1710113634
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
104819 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1000
Fax
(770) 389-2133
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01070422A IN
Emergency Medicine Physician 207P00000X 104819 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

950 N Meridian St Ste 500
Indianapolis, IN 46204-3908
Phone (317) 962-4942

Other practice location 1

1701 N Senate Blvd
Room DG412
Indianapolis, IN 46202-1239
Phone (317) 962-3886

Other identifiers 1

IdentifierTypeStateIssuer
201101570MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, LA, TN, NM, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20130925000661 MS Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 7 organizations
I20230530002102 AL Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 3 organizations
I20240202002589 LA Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 1 organization
I20240206003233 TN Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 4 organizations
I20240702003564 NM Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 1 organization
I20251001003386 GA Practitioner - Emergency Medicine 7517104615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T M Carr MD PCGroup PAC ID 3375504913, 19 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3450

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 908-3608

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104819GAMDEmergency Medicine Physician
01070422AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince May 20, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Hattiesburg HB Medical Services LLC Emergency Medicine CurrentSince Aug 21, 2023 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Lafourche Parish Hospital Service District No.1 Emergency Medicine CurrentSince Dec 30, 2023 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Dec 31, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Houston County Healthcare Authority CurrentSince May 24, 2023 Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Dec 31, 2023 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince Dec 30, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Harrison Emergency Group LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Mar 12, 2018 Accepting new patients
Houston County Healthcare Authority Emergency Medicine Current Accepting new patients
Memorial Hospital at Gulfport Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
Lafourche Parish Hospital Service District No.1 Past Accepting new patients

Locations (25 of 39)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: mmichel1@yourcarecommunity.org
  • Direct secure messaging: mmichel@direct.mhg.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1710113634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MERIDIAN ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043908",
            "telephone_number": "317-962-4942",
            "fax_number": "317-962-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1000",
            "fax_number": "770-389-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_2": "Room DG412",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-3886",
            "fax_number": "317-963-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01070422A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "104819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201101570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.