MICHAEL JAMES CORNWELL M.D.
NPI 1396738613
Specialist in Decatur, GA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
2665 N DECATUR RD, STE. 730, DECATUR, GA 30033(404) 508-4320(404) 508-4112 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael James Cornwell M.d. NPPES

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

MICHAEL JAMES CORNWELL M.D. (NPI 1396738613) is an individual specialist in Decatur, Georgia, licensed in Georgia (039313) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Howard University College Of Medicine (1993).

NPPES Registry Identity

NPI1396738613
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL JAMES CORNWELLCredential: M.D.
Location Address2665 N DECATUR RD, STE. 730Decatur, GA 30033-6149
Mailing Address2665 N Decatur Rd, Ste. 730Decatur, GA 30033-6149 · (404) 508-4320 · Fax (404) 508-4112
Fax(404) 508-4112
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1993
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 31, 2007
NPI 1396738613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 039313
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2665 N DECATUR RD, Decatur, GA 30033

Other Identifiers 2

Medicare ID-Type Unspecified02BDFWLGA
Medicare UPING90417GA

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

Michael James Cornwell M.d. 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 ID7517870157
PECOS Enrollment IDI20171109003428
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 12

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
165 services165 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
139 services59 patients
Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
99 services48 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
95 services67 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.
89 services78 patients
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.
59 services51 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, SUITE 540
DECATUR, GA 30033
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2665 N DECATUR RD, SUITE 750
DECATUR, GA 30033
Obstetrics & Gynecology (Obstetrics)
2665 N DECATUR RD, SUITE 255
DECATUR, GA 30033
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
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 Michael Cornwell's NPI number?

The NPI number for Michael Cornwell is 1396738613. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Michael Cornwell located?

Michael Cornwell practices at 2665 N Decatur Rd Ste. 730, Decatur, GA 30033. The listed phone number is (404) 508-4320.

What is Michael Cornwell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Cornwell enrolled in Medicare?

Yes. Michael Cornwell 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.

Is Michael Cornwell affiliated with any hospitals?

According to CMS data, Michael Cornwell is affiliated with Holy Redeemer Hospital And Medical Center, Jefferson Health- Northeast, Albert Einstein Medical Center, Thomas Jefferson University Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Cornwell was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.