Active NPI
Michael Anthony Quinones, MD
- Surgery Physician
- Sandy Springs, GA
National Provider Identifier
1821086802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 038917
- Practice address
- 5730 Glenridge Dr Ste 310
Sandy Springs, GA 30328-5561 - Phone
- (404) 303-7444
- Fax
- (404) 303-7445
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 038917 | GA | Primary |
Addresses
Primary practice location
5730 Glenridge Dr Ste 310
Sandy Springs, GA 30328-5561
Mailing address
5730 Glenridge Dr Ste 310
Sandy Springs, GA 30328-5561
Phone (404) 303-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00626029A | Medicaid | GA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000453 | GA | Practitioner - General Surgery | 8628002862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a. Quinones, MD, PC | Surgery | Current | Accepting new patients |
| Dekalb Medical Center, Inc. | Current | Accepting new patients | |
| Gwinnett Clinic LTD | Past | Accepting new patients | |
| Surgical Associates, LLC | Surgery | Past | Accepting new patients |
| Emory Specialty Associates, LLC | Past | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2675 N Decatur Rd
Ste 609
Decatur, GA 30033
Phone (404) 501-9170
5730 Glenridge Dr
Ste 310
Sandy Springs, GA 30328
Phone (404) 303-7444
Interoperability endpoints
- https://api.platform.athenahealth.com/21696/brand/1/csg/1/fhir/r4
- michael.quinones@gadirect.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.
-
- Surgery Physician
- Sandy Springs, GA
- NPI 1295063808
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Multi-Specialty Clinic/Center
- Duluth, GA
- NPI 1629117650
-
- Surgery Physician
- Decatur, GA
- NPI 1356301493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1821086802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR STE 310",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285561",
"telephone_number": "404-303-7444",
"fax_number": "404-303-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 GLENRIDGE DR STE 310",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285561",
"telephone_number": "404-303-7444",
"fax_number": "404-303-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "038917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00626029A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.