Individual provider Active NPI

Michelle Leigh Juneau, M.D.

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1821284290
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
63359 Issued in GA
Practice address
2045 Peachtree Rd NE
Suite 200
Atlanta, GA 30309-1414
Phone
(404) 351-7546
Fax
(404) 351-2993
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 63359 GA Primary

Addresses

Primary practice location

2045 Peachtree Rd NE
Suite 200
Atlanta, GA 30309-1414

Mailing address

2045 Peachtree Rd NE
Suite 200
Atlanta, GA 30309-1414
Phone (404) 351-7546

Other practice location 1

4151 Hospital Dr NE
Covington, GA 30014-2565
Phone (770) 784-0343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MJuneau@directaddress.net Health Information Exchange (HIE)

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
I20101117000545 GA Practitioner - Dermatology 2567657406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants PCGroup PAC ID 0941276141, 4 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 211
Atlanta, GA 30327-4100
Phone (404) 351-7546

4151 Hospital Nedr
Covington, GA 30014-2565
Phone (770) 784-0343

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
94.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions3672
Removal of nail tissue1-10
Removal or shaving of skin growth146
Skin biopsy739

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, P.C. Dermatology CurrentSince Sep 1, 2010 Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste 101
Atlanta, GA 30327
Phone (404) 351-7546

3280 Howell Mill Rd NW
Ste 211
Atlanta, GA 30327
Phone (404) 351-7546

2045 Peachtree Rd NE
Ste 200
Atlanta, GA 30309
Phone (404) 351-7546

4151 Hospital Dr NE
Covington, GA 30014
Phone (404) 351-7546

Organizations & group practices 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1821284290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091414",
            "telephone_number": "404-351-7546",
            "fax_number": "404-351-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091414",
            "telephone_number": "404-351-7546",
            "fax_number": "404-351-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 Hospital Dr NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142565",
            "country_code": "US",
            "telephone_number": "770-784-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "63359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MJuneau@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2045 Peachtree Rd NE",
            "address_2": "Suite 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303091414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.