DR. MICHAEL ANTHONY AVIDANO M.D. NPI 1780680462

NPI Information

  • NPI: 1780680462
  • Provider Name: DR. MICHAEL ANTHONY AVIDANO, M.D.
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1101 HOSPITAL DR
    STE 100A
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 474-7416

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NPI Details

DR. Michael Anthony Avidano, M.D. is an otolaryngology in Stockbridge, GA with 36 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Michael Anthony Avidano, M.D. NPI is 1780680462. 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:1990

The provider's business location address is:

1101 HOSPITAL DR
STE 100A
STOCKBRIDGE, GA
ZIP 30281-076
Phone: (770) 474-7416
Fax: (770) 389-6210

The NPI 1780680462 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Sleep study including heart rate, breathing, and sleep time (HCPCS:95800)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Simple control of nose bleed (HCPCS:30901)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 6/27/2005 and was last updated on 1/4/2010.

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
1207Y00000XOtolaryngology039722GEORGIAYes

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
1F99654MEDICARE UPINGEORGIA
2000674726MEDICAIDGEORGIA

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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