Active NPI
Michael Bruce Tremmel, PA-C
- Physician Assistant
- Marietta, GA
National Provider Identifier
1962491100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443836695A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003573 | GA | MD | Physician Assistant |
Practice roles
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBCFAA
- 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.
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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.