NPIMap

Individual provider Active NPI

Michael P Cecil, M.D.

  • Cardiovascular Disease Physician
  • Covington, GA
National Provider Identifier
1821048042
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30031 Issued in GA
Practice address
4140 Tate St NE
Covington, GA 30014-2562
Phone
(770) 786-0077
Fax
(770) 786-8750
NPI assigned
May 10, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30031 GA Primary

Addresses

Primary practice location

4140 Tate St NE
Covington, GA 30014-2562

Mailing address

4140 Tate St NE
Covington, GA 30014-2562
Phone (770) 786-0077

Other identifiers 2

IdentifierTypeStateIssuer
00623191EMedicaidGA
00623191DMedicaidGA

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
I20031118000243 GA Practitioner - Cardiovascular Disease (Cardiology) 4183538754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Louisville School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Specialists, LLCGroup PAC ID 3870580921, 4 clinicians

Practice addresses (Care Compare)

1366 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872
Phone (770) 918-0074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.96
Promoting interoperability
100
Improvement activities
40
Cost
78.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30031GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Heart Specialists, LLC CurrentSince May 1, 1999 Accepting new patients
Atlanta Pathology PA Past Accepting new patients
Emergency Professionals Atlanta, PC Past Accepting new patients

Locations

1366 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 918-0074

4140 Tate St NE
Covington, GA 30014
Phone (404) 786-1914

4140 Tate St NE
Ste B
Covington, GA 30014

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1821048042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 TATE ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142562",
            "telephone_number": "770-786-0077",
            "fax_number": "770-786-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 TATE ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142562",
            "telephone_number": "770-786-0077",
            "fax_number": "770-786-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "30031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00623191E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00623191D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.