NPIMap

Individual provider Active NPI

Michael J Sineway, MD

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1962488080
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24345 Issued in GA
Practice address
121 Langley Dr
Lawrenceville, GA 30046-6930
Phone
(770) 685-1300
Fax
(770) 685-1311
NPI assigned
Dec 20, 2005
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 24345 GA
Internal Medicine Physician 207R00000X 24345 GA Primary

Addresses

Primary practice location

121 Langley Dr
Lawrenceville, GA 30046-6930

Mailing address

631 Professional Dr
Suite 350
Lawrenceville, GA 30046-3367
Phone (770) 995-0630

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
I20101021000222 GA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6608900444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Emory University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Clinic, Inc.Group PAC ID 4688657471, 6 clinicians

Practice addresses (Care Compare)

121 Langley Dr
Lawrenceville, GA 30046-6930
Phone (770) 685-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24345GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pulmonary Group Duluth Current Accepting new patients
Hope Clinic, Inc. Internal Medicine CurrentSince Nov 2, 2023 Accepting new patients
Gwinnett Clinic LTD Past Accepting new patients

Locations

121 Langley Dr
Lawrenceville, GA 30046
Phone (770) 685-1300

631 Professional Dr
Ste 350
Lawrenceville, GA 30046
Phone (770) 995-0630

Interoperability endpoints

  • Direct secure messaging: michael.sineway.1@26524.direct.athenahealth.com
  • Direct secure messaging: michael.sineway@gwinnettlung.gadirect.net

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.

Hospital & facility affiliations 7

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1962488080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0630",
            "fax_number": "678-942-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LANGLEY DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466930",
            "telephone_number": "770-685-1300",
            "fax_number": "770-685-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINEWAY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "24345",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "24345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.