Active NPI
Michael Robert Yochelson, MD
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1831188929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD078742
- Practice address
- 2020 Peachtree Rd NW
Atlanta, GA 30309-1426 - Phone
- (404) 352-2020
- Fax
- (404) 350-7381
- NPI assigned
- Oct 20, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | D51290 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | D51290 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD036431 | DC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD078742 | GA | Primary |
Addresses
Primary practice location
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Mailing address
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 352-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038481800 | Medicaid | DC | |
| 413210600 | Medicaid | MD | |
| 5460-0113 | Other | DC | BCBS |
| PENDING | 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
- Physical Medicine and Rehabilitation
- Education
- George Washington University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 352-2020
Hospital & facility affiliations
- Shepherd Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD078742 | GA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepherd Center Inc | Current | Accepting new patients |
Locations
2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333
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.
-
- Long Term Care Hospital
- Atlanta, GA
- NPI 1043311715
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": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831188929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091426",
"telephone_number": "404-352-2020",
"fax_number": "404-350-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091426",
"telephone_number": "404-352-2020",
"fax_number": "404-350-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCHELSON",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MD",
"license": "D51290",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "D51290",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "DC",
"license": "MD036431",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "MD078742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038481800",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413210600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5460-0113",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.