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SAMUEL A MICKELSON MD NPI 1467410977


NPI Information

NPI: 1467410977
Provider Name: SAMUEL A MICKELSON, MD
Classification: Otolaryngology - 207YS0012X
Entity Type: Individual

Specialization: Sleep Medicine

PECOS Registration: Yes

Address:
960 JOHNSON FERRY RD
SUITE 200
ATLANTA, GA
ZIP 30342
Phone: (404) 943-0900
Get Directions

Samuel A Mickelson, MD is a sleep medicine otolaryngology in Atlanta, GA with 42 years of experience. The provider is 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. Samuel A Mickelson, MD NPI is 1467410977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

960 JOHNSON FERRY RD
SUITE 200
ATLANTA, GA
ZIP 30342
Phone: (404) 943-0900
Fax: (404) 943-1390

The NPI 1467410977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology041173GEORGIANo
2207YS0012XOtolaryngologySleep Medicine041173GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B49047MEDICARE UPIN
204BDCGWMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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