Active NPI
Michael R Swany, M.D.
- Orthopaedic Surgery Physician
- Fayetteville, GA
National Provider Identifier
1821087149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 041684
- Practice address
- 140 Trotters RDG
Fayetteville, GA 30215-6537 - Phone
- (678) 817-7115
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34175 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 041684 | GA | Primary |
Addresses
Primary practice location
140 Trotters RDG
Fayetteville, GA 30215-6537
Mailing address
140 Trotters RDG
Fayetteville, GA 30215-6537
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000478068A | Medicaid | GA | |
| 000478068B | Medicaid | GA | |
| RRPTAN200017460 | Other | RAILROAD MEDICARE | |
| 8981148 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34175 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Metro Bone & Joint PC | Orthopaedic Surgery | Past | Accepting new patients |
| Franklin Orthopedic Specialists P.a. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Franklin, NC
- NPI 1992807283
-
- Orthopaedic Surgery Physician
- Stockbridge, GA
- NPI 1669486981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1821087149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 TROTTERS RDG",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302156537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 TROTTERS RDG",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302156537",
"telephone_number": "678-817-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANY",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "34175",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "041684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000478068A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000478068B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "RRPTAN200017460",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8981148",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.