Matt McMichael, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

167967 Issued in GA

Practice address

5445 Meridian Mark Rd Ste 100
Atlanta, GA 30342-4755

Phone

(404) 459-1875

NPI assigned

Apr 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refined Surgical Assisting, LLLP

  • Surgical Physician Assistant
  • Jefferson, GA
  • NPI 1447018189

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1760179758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 OLD PENDERGRASS RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492763",
            "telephone_number": "541-525-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424755",
            "telephone_number": "404-459-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "MATT",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "167967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura McMaster, LMFT
• Tiffany Nicole McMath, CNA
• Brionna Jakara McMeans
• Victoria Aleksys McMeans
• Andrew McMerty, NP
• Amanda Laurel McMillan, M.D.
• Calvin Ryan McMillan, DPT
• Chase McMillan
• Jessica Anne McMillan, LMFT
• James Ian McMillen, MD

• Surgical Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.