NPIMap

Individual provider Active NPI

Michael C Pinell, MD

  • Emergency Medicine Physician
  • St Simons Island, GA
National Provider Identifier
1841267606
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58102 Issued in GA
Practice address
60 Cinema Lane
Suite 250
Saint Simons Island, GA 31523
Phone
(912) 638-7799
Fax
(912) 638-7755
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58102 GA Primary

Addresses

Primary practice location

60 Cinema Lane
Suite 250
Saint Simons Island, GA 31523

Mailing address

703 Dungeness
Saint Simons Island, GA 31522-5461
Phone (912) 856-7618

Other identifiers 1

IdentifierTypeStateIssuer
209719582AMedicaidGA

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
I20060828000458 GA Practitioner - Emergency Medicine 9638173016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Southern California Keck School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58102GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 1, 2016 Accepting new patients
Georgia Emergency Associates Emergency Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1841267606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 DUNGENESS",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225461",
            "telephone_number": "912-856-7618",
            "fax_number": "912-638-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CINEMA LANE",
            "address_2": "SUITE 250",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "31523",
            "telephone_number": "912-638-7799",
            "fax_number": "912-638-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINELL",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "58102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209719582A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

Verify at the official NPI Registry.