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MICHELLE ELIZABETH DEHAVEN
NPI 1083330351
Emergency Medicine in Marietta, GA

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
115 CHERRY ST NE, MARIETTA, GA 30060(770) 793-5700 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Michelle Elizabeth Dehaven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ELIZABETH DEHAVEN (NPI 1083330351) is an individual emergency medicine provider in Marietta, Georgia, licensed in Georgia (12342) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083330351
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMICHELLE ELIZABETH DEHAVEN
Location Address115 CHERRY ST NEMarietta, GA 30060-7205
Mailing Address4238 Sterling Pointe DrDouglasville, GA 30135-5037
Phone(770) 793-5700
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2022
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1083330351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 12342
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
115 CHERRY ST NE, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13093 Flowers Rd S Apt NAtlanta, GA 30341-5655 · Phone (570) 460-1986
Location 24238 Sterling Pointe DrDouglasville, GA 30135-5037 · Phone (570) 460-1986

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Elizabeth Dehaven is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810432192
PECOS Enrollment IDI20240710004594
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS BRADFORD GENTLE PA-C
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (256) 612-8778
VIKTORIYA PETROVNA CARNEY
Nurse Practitioner (Acute Care)
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (470) 267-9541
DANIEL CHA MD
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
ALMIR AGIC PA-C
Physician Assistant
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
KENNESTONE HOSPITAL, INC
Pharmacy (Clinic Pharmacy)
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (470) 644-0328
ANDREW NA DO
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
CATHERINE BROOKE SANDERS-GIDDENS MD
Student in an Organized Health Care Education/Training Program
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700
DR. KAITLYN DENISE HOLDER MD
Emergency Medicine
115 CHERRY ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dehaven's NPI number?

The NPI number for Michelle Dehaven is 1083330351. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Michelle Dehaven located?

Michelle Dehaven practices at 115 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 793-5700.

What is Michelle Dehaven's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michelle Dehaven enrolled in Medicare?

Yes. Michelle Dehaven is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Dehaven was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.