Michael Hollifield, MD
Individual provider Active NPI Internal Medicine Physician · Clayton, GA
NPI 1831162437 · NPPES record last updated Mar 5, 2022
Key facts
- NPI
- 1831162437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 032206 (GA)
- Practice address
- 563 Mountain City Rd
Clayton, GA 30525-3072 - Phone
- (706) 960-9533
- Fax
- (706) 782-0465
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Resources Management of Rabun LLC
Practice addresses (Care Compare)
162 Legacy PT
Clayton, GA 30525-5354
Phone (706) 782-3100
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisys Company
- Mountain Lakes Medical Center
- Northeast Georgia Medical Center Habersham
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 91.38
- Improvement activities
- 40
- Cost
- 79.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000548 | GA | Practitioner - Emergency Medicine |
3678526175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032206 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Resources Management of Rabun, LLC | Current |
Accepting new patients | |
| Mountain Lakes Medical Center, LLC | Past | Accepting new patients | |
| Medlink Georgia, Inc | Past | Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients | |
| Professional Resources Management of Rabun LLC | Past | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Past | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408
196 Ridgecrest Cir
Clayton, GA 30525
Phone (706) 746-6571
Interoperability endpoints
- https://api.platform.athenahealth.com/2145/brand/1/csg/1/fhir/r4
- mountainlakesphysiciansgroup.michaelhollifield@147241.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 032206 | GA | |
| Internal Medicine Physician | 207R00000X | 032206 | GA | Yes |
Addresses
Primary practice location
563 Mountain City Rd
Clayton, GA 30525-3072
Mailing address
PO Box 2442
Columbus, GA 31902-2442
Phone (706) 960-9533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11SCGZT | Other | GA | MEDICARE PIN URGENT CARE FRIENDSHIP |
| 000642023D | Medicaid | GA | |
| 000642023J | Other | GA | MEDICAID URGENT CARE FRIENDSHIP |
| 000642023F | Medicaid | GA |
Other providers in Clayton, GA
- Healthie Pathways
- Robert Hennen
- Harold Hugh Herring Jr.
- Highlands Internal Medicine, PC
- Matthew Douglas Holland
- Holloway Family Dentistry
- Hon Medical Group, PC
- Amanda H Howard
- Deidre B Howell
- Kaitlyn Howell
All providers in Clayton, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.