MICHAEL BRENT KOCH M.D. NPI 1508900101

NPI Information

  • NPI: 1508900101
  • Provider Name: MICHAEL BRENT KOCH, M.D.
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3949 S COBB DR SE
    SMYRNA, GA
    ZIP 30080
  • Phone: (770) 438-5215

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NPI Details

Michael Brent Koch, M.D. is a general acute care hospital in Smyrna, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. Michael Brent Koch, M.D. NPI is 1508900101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3949 S COBB DR SE
SMYRNA, GA
ZIP 30080-342
Phone: (770) 438-5215

The NPI 1508900101 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.

  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital043075GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H52602MEDICARE UPINGEORGIA
222BDGN01MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
300935129BMEDICAIDGEORGIA

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: 11/21/2025

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