Individual provider Active NPI

Paul A. Michas, M.D.

  • Orthopaedic Surgery Physician
  • Albany, GA
National Provider Identifier
1750355574
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
041172 Issued in GA
Practice address
619 Pointe North Blvd
Albany, GA 31721-1514
Phone
(229) 883-4707
Fax
(229) 435-1038
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 041172 GA Primary

Addresses

Primary practice location

619 Pointe North Blvd
Albany, GA 31721-1514

Mailing address

PO Box 407
Albany, GA 31702-0407
Phone (229) 883-4707

Other practice location 1

910 N 5th St # 100
Cordele, GA 31015-3254
Phone (229) 276-2185

Other practice location 2

902 N 7th St # 100
Cordele, GA 31015-3234
Phone (229) 276-3100

Other identifiers 4

IdentifierTypeStateIssuer
200035716OtherGARAILROAD MEDICARE
000833984AMedicaidGA
372315400OtherWORKERS' COMPENSATION
769438OtherGABCBSGA

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
I20100216000015 GA Practitioner - Orthopedic Surgery 9638211931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

  • Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital Inc CurrentSince Feb 28, 2021 Accepting new patients
Albany Bone & Joint Clinic PC Orthopaedic Surgery CurrentSince Aug 1, 1999 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Feb 28, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
David Kavtaradze MD Inc PastSince Mar 21, 2021 Accepting new patients

Locations

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

910 N 5th St
#100
Cordele, GA 31015
Phone (229) 276-2185

902 N 7th St
#100
Cordele, GA 31015
Phone (229) 276-2286

1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000

910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

Interoperability endpoints

  • Direct secure messaging: paulmichas@oa.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1750355574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020407",
            "telephone_number": "229-883-4707",
            "fax_number": "229-435-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 POINTE NORTH BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211514",
            "telephone_number": "229-883-4707",
            "fax_number": "229-435-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 N 5th St # 100",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153254",
            "country_code": "US",
            "telephone_number": "229-276-2185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 N 7th St # 100",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153234",
            "country_code": "US",
            "telephone_number": "229-276-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAS",
        "first_name": "PAUL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "041172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200035716",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000833984A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "372315400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA",
            "identifier": "769438",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.