MR. GARRY MICHAEL NP-C
NPI 1093070096
Nurse Practitioner - Primary Care in Macon, GA

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment
3708 NORTHSIDE DR, MACON, GA 31210(478) 745-4206(478) 254-5463 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Garry Michael Np-c NPPES

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

MR. GARRY MICHAEL NP-C (NPI 1093070096) is an individual primary care provider in Macon, Georgia, licensed in Georgia (RN093691) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093070096
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. GARRY MICHAELCredential: NP-C
Location Address3708 NORTHSIDE DRMacon, GA 31210-2404
Mailing Address3708 Northside DrMacon, GA 31210-2404 · (478) 745-4206 · Fax (478) 254-5463
Fax(478) 254-5463
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 6, 2012
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1093070096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · RN093691
3708 NORTHSIDE DR, Macon, GA 31210

Accepted Insurance

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

Mr. Garry Michael Np-c 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 ID1557511763
PECOS Enrollment IDI20121024000795
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
310 services225 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services121 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
186 services168 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
182 services170 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services81 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
57 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%623 patients1/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%212 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%1,183 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%1,050 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%1,183 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,183 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%1,183 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Hand Surgery)
3708 NORTHSIDE DR
MACON, GA 31210
Physician Assistant
3708 NORTHSIDE DR
MACON, GA 31210
Orthopaedic Surgery
3708 NORTHSIDE DR
MACON, GA 31210
Physical Therapist
3708 NORTHSIDE DR
MACON, GA 31210
Nurse Practitioner (Family)
3708 NORTHSIDE DR
MACON, GA 31210
Physical Therapist (Orthopedic)
3708 NORTHSIDE DR
MACON, GA 31210
Physician Assistant
3708 NORTHSIDE DR
MACON, GA 31210
Nurse Practitioner
3708 NORTHSIDE DR
MACON, GA 31210

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 Garry Michael's NPI number?

The NPI number for Garry Michael is 1093070096. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Garry Michael located?

Garry Michael practices at 3708 Northside Dr, Macon, GA 31210. The listed phone number is (478) 745-4206.

What is Garry Michael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Garry Michael enrolled in Medicare?

Yes. Garry Michael 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.

What insurance does Garry Michael accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Garry Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garry Michael was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.