Active NPI
Michael J Litrel, M.D.
- Obstetrics & Gynecology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 039623
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000743366K | Medicaid | GA | |
| 16BBBPP | Other | GA | MEDICARE |
| 00743366I | Medicaid | GA | |
| 000743366J | 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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Surgical Professional Services LLC | Current | Accepting new patients | |
| Cherokee Women's Health Specialist, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Atlanta Women's Surgery Specialists, P.C. | Obstetrics & Gynecology | Past | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039275
- 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.
-
- Obstetrics & Gynecology Physician
- Canton, GA
- NPI 1720115389
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Obstetrics & Gynecology Physician
- Canton, GA
- NPI 1104261528
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.