Individual provider Active NPI

Michael Joel Kalson, MD, F.A.A.O.S.

  • Orthopaedic Surgery Physician
  • Cumming, GA
National Provider Identifier
1912098773
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
028421 Issued in GA
Practice address
318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone
(770) 889-0891
Fax
(770) 889-0354
NPI assigned
Sep 27, 2006
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 028421 GA Primary

Addresses

Primary practice location

318 Tribble Gap Rd
Cumming, GA 30040-2440

Mailing address

318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone (770) 889-0891

Other identifiers 2

IdentifierTypeStateIssuer
028421OtherGALICENSE
00328226AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028421GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Orthopedics, LLC Orthopaedic Surgery PastSince May 1, 1986 Accepting new patients
Academy Orthopedics, LLC Orthopaedic Surgery PastSince May 1, 1986 Accepting new patients
Academy Orthopedics, LLC Orthopaedic Surgery PastSince May 1, 1986 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGBBCD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1912098773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402440",
            "telephone_number": "770-889-0891",
            "fax_number": "770-889-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402440",
            "telephone_number": "770-889-0891",
            "fax_number": "770-889-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSON",
        "first_name": "MICHAEL",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.A.O.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "028421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028421",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00328226A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.