MIKLE SOUTH PHD
NPI 1306198262
Psychologist - Clinical in Decatur, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mikle South Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mikle South reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
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.
Which organization bills Medicare for Mikle South's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikle South reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mikle South's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mikle South accept?
Health plans from Ambetter Health and Oscar Health list Mikle South 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 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.
# Mikle South, PHD · NPI 1306198262
Clinical provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since October 2, 2012.
## Identity
- **NPI:** 1306198262 (Entity type: Individual)
- **Enumerated:** October 2, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6841090-2501 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1551 SHOUP CT, Decatur, GA 30033-4607
- **Phone:** (404) 727-8350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306198262) · Data from the CMS NPPES public registry.