Individual provider Active NPI

Michael Louis Katz, M.D.

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1932417094
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
66950 Issued in GA
Practice address
550 Fairburn Rd SW
B4
Atlanta, GA 30331-2014
Phone
(813) 368-9941
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 66950 GA Primary
Pain Medicine Physician 208VP0000X 66950 GA

Addresses

Primary practice location

550 Fairburn Rd SW
B4
Atlanta, GA 30331-2014

Mailing address

550 Fairburn Rd SW
B4
Atlanta, GA 30331-2014
Phone (813) 368-9941

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504001938 GA Practitioner - Internal MedicinePractitioner - General Practice 5294034757

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66950GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1932417094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FAIRBURN RD SW",
            "address_2": "B4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312014",
            "telephone_number": "813-368-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FAIRBURN RD SW",
            "address_2": "B4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312014",
            "telephone_number": "813-368-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "66950",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "66950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.