Michelle Wan, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

066100 Issued in GA

Practice address

2701 N Decatur Rd
Decatur, GA 30033-5918

Phone

(404) 501-2560

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• First Class Healthcare LLC

  • Health Maintenance Organization
  • Lawrenceville, GA
  • NPI 1639891765
  NPD (past)
• Best Care Emergency Physicians LLC

  • Emergency Medicine Physician
  • Kissimmee, FL
  • NPI 1962675736
  NPD (past)
• Floridian Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Crestview, FL
  • NPI 1992150007
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1851542450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 WIMBERLY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192637",
            "telephone_number": "561-628-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN11609",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME107596",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "066100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley N Walters, PA
• Chauncey M Walton, FNP-BC
• Jewel Y Walton
• Phillip Gene Walton
• Relisha Nicole Walton
• Duanran Wang, MS
• Susan Annemarie Wang, M.D., M.P.H.
• Alana Alexandria Ward, MSW
• Albert A. Ward III, P.A.
• Daniel Ward

• Emergency Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.