Individual provider Active NPI

Michael Anthony Quinones, MD

  • Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1821086802
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
038917 Issued in GA
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

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00626029AMedicaidGA

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
I20060428000453 GA Practitioner - General Surgery 8628002862

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Quinones, MD, PC Surgery CurrentSince Jan 1, 2008 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

  • FHIR API: https://api.platform.athenahealth.com/21696/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.