Individual provider Active NPI

Michael Bruce Tremmel, PA-C

  • Physician Assistant
  • Marietta, GA
National Provider Identifier
1962491100
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003573 Issued in GA
Practice address
300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone
(770) 427-5717
Fax
(770) 429-6503
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003573 GA Primary

Addresses

Primary practice location

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403

Mailing address

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

Other identifiers 1

IdentifierTypeStateIssuer
443836695AMedicaidGA

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003573GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Orthopaedics and Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists, LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics and Sports Medicine Specialists, LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics&Sports Medicine Specialist PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics and Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine PastSince Jan 1, 1990 Accepting new patients
Wellstar Health System, Inc. Past Accepting new patients
Pinnacle Orthopaedics PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC PastSince Jan 1, 1990 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specia PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBCFAA
  • Direct secure messaging: michael.tremmel.1@6806.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1962491100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403",
            "telephone_number": "770-427-5717",
            "fax_number": "770-429-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403",
            "telephone_number": "770-427-5717",
            "fax_number": "770-429-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMMEL",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443836695A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.