Dr. Jeffrey Evan Michaelson
Sleep Medicine Pulmonary Disease Critical Care Medicine
55 Whitcher St Ne Suite 160
Marietta
, Georgia 30060-1155
Dr. Jeffrey Evan Michaelson
Sleep Medicine Pulmonary Disease Critical Care Medicine
55 Whitcher St Ne Suite 160
Marietta
, Georgia 30060-1155
(770) 423-9651
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
- Sleep Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Evan Michaelson
- 55 Whitcher St Ne Suite 160
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 423-9651
- Phone : (770) 422-1372
Second Address
- Dr. Jeffrey Evan Michaelson
- 55 Whitcher St Ne Suite 160
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 423-9651
- Phone : (770) 422-1372
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 037623 | GA |
| Y | 207RP1001X | Pulmonary Disease | 037623 | GA |
| N | 207RS0012X | Sleep Medicine | 37623 | GA |
National Provider Identifier
| NPI | 1063495521 |
|---|---|
| Provider Name | Dr. Jeffrey Evan Michaelson |
| First Address | Marietta, GA 30060-1155 |
| Second Address | Marietta, GA 30060-1155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 17/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00645147C | (05) | GA |
| 0932200001 | WORKERS COMPENSATION (01) | GA |
| 202I294296 | MEDICARE PTAN (01) | GA |
| 290012142 | RAILROAD MEDICARE (01) | GA |
| 2999766 | GHI (01) | |
| 4820111 | UNITED HEALTHCARE (01) | |
| 5341107 | AETNA (01) | |
| 58-1831482 | FEDERAL TAX IDENTIFICATION NUMBER (01) | GA |
| 5932 | KAISER (01) | GA |
| 6054810006 | CIGNA (01) | |
| 767305 | BLUE CROSS BLUE SHIELD (01) | GA |
| G00725 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.