Look up the most recent NPI and PECOS records

Mini Ann Michael

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as MINI MICHAEL.

Based on the most recent information from CMS, provider Mini Ann Michael is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1811182751
Provider Type
Individual
Full Name
Michael, Mini Ann
Title
Dr.
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
9/13/2007
Last Updated
7/13/2012

Contact Information

Practice Location

775 Sunset Dr, Athens, GA 30606-2211

(706) 425-1548

Unlisted Fax

Mailing Location

775 Sunset Dr, Athens, GA 30606-2211

(706) 425-1548

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 062917 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Mini Ann Michael

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Baker, Matthew B

Zakaria, Tariq Wael

Athens Regional Physician Services, Inc

Jamal, Ummar

Lucas, Robert Patrick

Ruiz Vega, Joshuam A

Carter, Chelsey Davis

Amakye, Dominic Ofosu

Armstrong, Phillip

Hedrick, Joshua Michael