SAMUEL A MICKELSON (NPI# 1467410977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467410977 |
| Entity Type | Individual |
| Full Name | SAMUEL A MICKELSON |
| Other Name | SAMUEL ALAN MICKELSON |
| Credential | MD |
| Practice Address |
960 Johnson Ferry Rd Suite 200 Atlanta GA 30342 |
| Practice Telephone | 4049430900 |
| Practice Fax Number | 4049431390 |
| Mailing Telephone | 4049430900 |
| Mailing Fax Number | 4049431390 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 041173 | GA | Allopathic & Osteopathic Physicians |
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
041173 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
960 JOHNSON FERRY RD SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988445 | Paul Dennison Boyce | Specialist | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1631 | 2005-11-10 |
| 1134661713 | Stephanie Anne Vickers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-14 |
| 1104368117 | Mindy Amber Garcia | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-08 |
| 1336502624 | Marita King | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-04-04 |
| 1487035507 | Mary Rachel Cramer | Physician Assistant | 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 30342-1631 | 2015-06-15 |
| 1871984971 | Julie Allers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2015-02-10 |
| 1346630613 | Johnathon Steven Nolen | Physician Assistant | 960 Johnson Ferry Rd, Suite 100, Atlanta, GA 30342-1631 | 2015-01-26 |
| 1770903486 | Richard Frady | Nurse Practitioner | 960 Johnson Ferry Rd, Ste. 500, Atlanta, GA 30342-1631 | 2014-04-21 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134696115 | Augusta Sleep Study Solutions, LLC | Otolaryngology | 3035 Park Ave, Augusta, GA 30909-3033 | 2018-10-29 |
| 1992701064 | Hamilton S Dixon | Otolaryngology | 3268 Martha Berry Hwy Ne, Rome, GA 30165-7712 | 2005-06-23 |
| 1063746709 | Charles M. Mixson, M.d., P.C. | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2009-09-29 |
Please comment or provide details below to improve the information on SAMUEL A MICKELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.