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MIKLE SOUTH PHD
NPI 1306198262
Psychologist - Clinical in Decatur, GA

Active since October 02, 2012PECOS Enrolled
92.26/100
CMS Quality Rating
1551 SHOUP CT, DECATUR, GA 30033(404) 727-8350 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikle South Phd NPPES

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

MIKLE SOUTH PHD (NPI 1306198262) is an individual clinical provider in Decatur, Georgia, licensed in Utah (6841090-2501) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306198262
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMIKLE SOUTHCredential: PHD
Location Address1551 SHOUP CTDecatur, GA 30033-4607
Mailing Address1551 Shoup CtDecatur, GA 30033-4607 · (404) 727-8350
Phone(404) 727-8350
Sole ProprietorYes
Enumeration DateOctober 2, 2012
Last NPPES UpdateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1306198262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 6841090-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1551 SHOUP CT, Decatur, GA 30033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikle South Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

DEBBIE JAZMIN CIFUENTES MED
Behavior Analyst
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-3964
CATHERINE ELIZABETH RICE
Psychologist (Intellectual and Developmental Disabilities)
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-8350
ALEXANDRA EVELYN BECK
Behavior Analyst
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-3964
SHARON HYNES BCABA
Behavior Analyst
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-8350
EAC SERVICES LLC
Clinic/Center (Developmental Disabilities)
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-8350
PATRICIA DANIELLE BELVA RN, MSN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-8350
DR. ALLISON JAYE SCHWARTZ PHD
Psychologist (Clinical Child & Adolescent)
1551 SHOUP CT
DECATUR, GA 30033
Dekalb County (404) 727-8350

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 Mikle South's NPI number?

The NPI number for Mikle South is 1306198262. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Mikle South located?

Mikle South practices at 1551 Shoup Ct, Decatur, GA 30033. The listed phone number is (404) 727-8350.

What is Mikle South's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mikle South enrolled in Medicare?

Yes. Mikle South is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikle South was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.