Active NPI
Michelle J Staples-Horne, M.D.
- Public Health & General Preventive Medicine Physician
- Atlanta, GA
National Provider Identifier
1750527255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 036463
- Practice address
- 477 Windsor St SW Ste 309
Atlanta, GA 30312-2530 - Phone
- (404) 688-9202
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 036463 | GA | Primary |
Addresses
Primary practice location
477 Windsor St SW Ste 309
Atlanta, GA 30312-2530
Mailing address
PO Box 626
Avondale Estates, GA 30002-0626
Phone (404) 291-3765
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Morehouse School of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 N Point Ctr E
Suite 208
Alpharetta, GA 30022-1506
477 Windsor St SW
Atlanta, GA 30312-2530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036463 | GA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Black Womens Wellness CBWW Inc | Current | Accepting new patients |
Locations
477 Windsor St SW
Ste 309
Atlanta, GA 30312
Phone (404) 688-9202
Interoperability endpoints
- mshorne@cfbwwi-ga.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Gynecology Physician
- Atlanta, GA
- NPI 1669813580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1750527255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "AVONDALE ESTATES",
"state": "GA",
"postal_code": "300020626",
"telephone_number": "404-291-3765",
"fax_number": "404-241-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 WINDSOR ST SW STE 309",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303122530",
"telephone_number": "404-688-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES-HORNE",
"first_name": "MICHELLE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2025-07-17",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "GA",
"license": "036463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.