1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Surgery
  6. NPI Profile

MR. MICHAEL PETROSKY MD
NPI 1164416582
Surgery - Plastic and Reconstructive Surgery in Marietta, GA

Active since August 31, 2005PECOS Enrolled
120 VANN ST NE, STE 150, MARIETTA, GA 30060(770) 421-1242(770) 424-6652 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Petrosky Md NPPES

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

MR. MICHAEL PETROSKY MD (NPI 1164416582) is an individual plastic and reconstructive surgery provider in Marietta, Georgia, licensed in Georgia (030855) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164416582
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMR. MICHAEL PETROSKYCredential: MD
Location Address120 VANN ST NE, STE 150Marietta, GA 30060-7250
Mailing Address120 Vann St Ne, Ste 150Marietta, GA 30060-7250 · (770) 421-1242 · Fax (770) 424-6652
Phone(770) 421-1242
Fax(770) 424-6652
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 9, 2008
✔ NPI 1164416582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in GA · 030855
Definition
A surgeon who specializes in plastic and reconstructive surgery.
120 VANN ST NE, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE19976GA
Other24BCBBDGA · Provider Transaction Access Number-ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Petrosky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

COREY PATRICK HARKINS
Surgery (Plastic and Reconstructive Surgery)
120 VANN ST NE, SUITE 150
MARIETTA, GA 30060
Cobb County (770) 421-1242
PLASTIC SURGERY CENTER OF THE SOUTH
Clinic/Center
120 VANN ST NE, SUITE 150
MARIETTA, GA 30060
Cobb County (772) 421-1242
MICHAEL PETROSKY
Surgery (Plastic and Reconstructive Surgery)
120 VANN ST NE, SUITE 150
MARIETTA, GA 30060
Cobb County (770) 421-1242
ELMER ANTHONY MUSARRA II
Surgery (Plastic and Reconstructive Surgery)
120 VANN ST NE, SUITE 150
MARIETTA, GA 30060
Cobb County (770) 421-1242
JAMES LEAKE
Surgery (Plastic and Reconstructive Surgery)
120 VANN ST NE, SUITE 150
MARIETTA, GA 30060
Cobb County (770) 421-1242

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 Michael Petrosky's NPI number?

The NPI number for Michael Petrosky is 1164416582. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Michael Petrosky located?

Michael Petrosky practices at 120 Vann St NE Ste 150, Marietta, GA 30060. The listed phone number is (770) 421-1242.

What is Michael Petrosky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Michael Petrosky enrolled in Medicare?

Yes. Michael Petrosky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Petrosky was last updated on July 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.