Individual provider Active NPI

Michael J Litrel, M.D.

  • Obstetrics & Gynecology Physician
  • Canton, GA
National Provider Identifier
1821105073
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
039623 Issued in GA
Practice address
227 Riverstone Dr
Canton, GA 30114-5256
Phone
(770) 720-7733
Fax
(770) 720-7557
NPI assigned
Aug 24, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 039623 GA Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 039623 GA

Addresses

Primary practice location

227 Riverstone Dr
Canton, GA 30114-5256

Mailing address

227 Riverstone Drive
Canton, GA 30114
Phone (770) 720-7733

Other identifiers 4

IdentifierTypeStateIssuer
000743366KMedicaidGA
16BBBPPOtherGAMEDICARE
00743366IMedicaidGA
000743366JMedicaidGA

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
I20100624000109 GA Practitioner - Obstetrics/Gynecology 9234188962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Cherokee Women's Health Specialist, P.C.Group PAC ID 4284620584, 2 clinicians

Practice addresses (Care Compare)

227 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 720-7733

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Apr 1, 2026 Accepting new patients
Cherokee Women's Health Specialist, P.C. Obstetrics & Gynecology CurrentSince Feb 1, 2002 Accepting new patients
Atlanta Women's Surgery Specialists, P.C. Obstetrics & Gynecology PastSince Apr 1, 2013 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

227 Riverstone Dr
Canton, GA 30114
Phone (770) 720-7733

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2001 Professional Pkwy
Ste 200
Woodstock, GA 30188
Phone (770) 516-0552

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039275
  • Direct secure messaging: michaellitrel@cwhspc.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1821105073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RIVERSTONE DRIVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-720-7733",
            "fax_number": "770-720-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RIVERSTONE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145256",
            "telephone_number": "770-720-7733",
            "fax_number": "770-720-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITREL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "039623",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "GA",
            "license": "039623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743366K",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "16BBBPP",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743366I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743366J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.