NPIMap

Individual provider Active NPI

Michael Hollifield, MD

  • Internal Medicine Physician
  • Clayton, GA
National Provider Identifier
1831162437
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032206 Issued in GA
Practice address
563 Mountain City Rd
Clayton, GA 30525-3072
Phone
(706) 960-9533
Fax
(706) 782-0465
NPI assigned
Feb 13, 2006
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 032206 GA
Internal Medicine Physician 207R00000X 032206 GA Primary

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 4

IdentifierTypeStateIssuer
11SCGZTOtherGAMEDICARE PIN URGENT CARE FRIENDSHIP
000642023DMedicaidGA
000642023FMedicaidGA
000642023JOtherGAMEDICAID URGENT CARE FRIENDSHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000548 GA Practitioner - Emergency MedicinePractitioner - Internal Medicine 3678526175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (706) 782-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
91.38
Improvement activities
40
Cost
79.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032206GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resources Management of Rabun, LLC CurrentSince Dec 1, 2019 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
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Professional Resource MGMT of Rabun, LLC Past Accepting new patients
Medlink Georgia, Inc 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

  • FHIR API: https://api.platform.athenahealth.com/13027/brand/8/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/mtlake-2b448abd
  • Direct secure messaging: mountainlakesphysiciansgroup.michaelhollifield@147241.advancedmd-direct.com

Organizations & group practices 7

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 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1831162437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2442",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022442",
            "telephone_number": "706-960-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 MOUNTAIN CITY RD",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305253072",
            "telephone_number": "706-960-9533",
            "fax_number": "706-782-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIFIELD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "032206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN URGENT CARE FRIENDSHIP",
            "identifier": "11SCGZT",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000642023D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000642023F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID URGENT CARE FRIENDSHIP",
            "identifier": "000642023J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.