Stephanie Michael (NPI# 1790775559, PAC ID# 6800837022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1790775559 |
| PAC ID by PECOS | 6800837022 |
| Professional Enrollment ID | I20050518000797 |
| Full Name | Stephanie Michael |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Address |
5041 Dallas Hwy 101h Powder Springs GA 30127-6458 |
| Phone Number | 7704990080 |
| Gender | F |
| Credential | DPM |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587646971 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 | 4045891330 | VILLAGE PODIATRY GROUP, LLC. |
| 5041 Dallas Hwy 101h, Powder Springs, GA 30127-6458 | 7704990080 | VILLAGE PODIATRY GROUP, LLC. |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahar Mahzoon | Podiatry | Village Podiatry Group, LLC. | 625 Cook St, Royston, GA 30662-3932 |
| Jose Manuel Gonzalez | Podiatry | Village Podiatry Group, LLC. | 1610 Mulkey Rd, Austell, GA 30106-1182 |
| Ryan Hudson Fitzgerald | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Jason E Morris | Podiatry | Village Podiatry Group, LLC. | 1711 Mount Vernon Rd, Dunwoody, GA 30338-4242 |
| Christopher Russel Corwin | Podiatry | Village Podiatry Group, LLC. | 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 |
| Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Andrew D Warner | Podiatry | Village Podiatry Group, LLC. | 3506 Old Milton Pkwy, Alpharetta, GA 30005-4458 |
| Steven A Weiskopf | Podiatry | Village Podiatry Group, LLC. | 1198 Buckhead Xing, D, Woodstock, GA 30189-4293 |
| Patricia W Morris | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Margo A Jimenez | Podiatry | Village Podiatry Group, LLC. | 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 |
| Street Address |
5041 DALLAS HWY 101H |
| City | POWDER SPRINGS |
| State | GA |
| Zip | 30127-6458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred J Roberto | Chiropractic | 5041 Dallas Hwy, Suite 500, Powder Springs, GA 30127 | |
| Michael W Christa | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Jeffrey L Cox | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Lindsay Richardson | Nurse Practitioner | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Margaret Muthoni Ngumi | Nurse Practitioner | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Jeremy Boyd | Family Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Douglas Campbell | Internal Medicine | Wellstar Medical Group, LLC | 4250 Brownsville Rd, Powder Springs, GA 30127-2559 |
| Marsha Joan Cheshire | Pediatric Medicine | Georgia Clinic, PC | 4045 Lindley Cir, Suite B, Powder Springs, GA 30127-2765 |
| Pei Tan | Nurse Practitioner | Piedmont Professional Services, LLC | 5230 Dallas Hwy, Powder Springs, GA 30127-4263 |
| Lisa L Stacy | Physical Therapy | 5179 Marsden Trce, Powder Springs, GA 30127-4321 | |
| Find all physicians in zip 30127 | |||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
| Specialty | PODIATRY |
| City + Specialty | POWDER SPRINGS + PODIATRY |
Please comment or provide details below to improve the information on Stephanie Michael.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.