NPIMap

Individual provider Active NPI

Michael Skardasis, MD

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1740323468
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038096 Issued in GA
Practice address
120 Stonebridge Pkwy Ste 430
Woodstock, GA 30189-3769
Phone
(678) 250-0700
Fax
(678) 250-0701
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038096 GA Primary

Addresses

Primary practice location

120 Stonebridge Pkwy Ste 430
Woodstock, GA 30189-3769

Mailing address

120 Stonebridge Pkwy Ste 430
Woodstock, GA 30189-3769
Phone (678) 250-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001035 GA Practitioner - Internal Medicine 4688605405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 Stonebridge Pkwy
Suite 430
Woodstock, GA 30189-3769
Phone (678) 250-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.5 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance Medicine LLC Internal Medicine CurrentSince May 23, 2017 Accepting new patients
Wellstar Physicians Group Hospitalists, LLC Internal Medicine Past Accepting new patients

Locations

120 Stonebridge Pkwy
Ste 430
Woodstock, GA 30189
Phone (678) 250-0700

Interoperability endpoints

  • Direct secure messaging: michael.skardasis.1@17125.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17125/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1740323468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY STE 430",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893769",
            "telephone_number": "678-250-0700",
            "fax_number": "678-250-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE PKWY STE 430",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893769",
            "telephone_number": "678-250-0700",
            "fax_number": "678-250-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARDASIS",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "038096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.