Individual provider Active NPI

Michelle J Staples-Horne, M.D.

  • Public Health & General Preventive Medicine Physician
  • Atlanta, GA
National Provider Identifier
1750527255
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
036463 Issued in GA
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000010 GA Practitioner - Preventive Medicine 7012406655 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
036463GAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Black Womens Wellness CBWW Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

477 Windsor St SW
Ste 309
Atlanta, GA 30312
Phone (404) 688-9202

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.