Michael R. Eberhardt, MD
Individual provider Active NPI Emergency Medicine Physician · Commerce, GA
NPI 1942374574 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942374574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 021452 (GA)
- Practice address
- 70 Medical Center Dr
Commerce, GA 30529-1078 - Phone
- (706) 335-1102
- Fax
- (706) 336-8419
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amara Center | Past | Accepting new patients | |
| BJC Medical Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Carter Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Chatuge Regional Hospital Inc | Past | Accepting new patients | |
| Chatuge Regional Hospital Inc | Past | Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 021452 | GA | Yes |
Addresses
Primary practice location
70 Medical Center Dr
Commerce, GA 30529-1078
Mailing address
861 SW 78TH Ave
Suite # 100B
Plantation, FL 33324-3273
Phone (954) 693-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000230557R | Medicaid | GA | |
| 52024750-004 | Other | GA | BCBS |
Other providers in Commerce, GA
- Dima Health Management, Inc
- Claire Mameli Dipalma
- Roy E Doss
- Shelia Doss
- Charles Seidel Dwozan
- Edmunds Programs for Human Services Incorporated
- Elite Physical Therapy, Inc.
- Tabitha Evans
- Evernorth Direct Health LLC
- Every Smile Family Dentistry
All providers in Commerce, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.