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DR. MICHAEL JAMES BRISSETT PH.D.
NPI 1407914773
Psychologist - Clinical in Lilburn, GA

Active since December 05, 2006Opted out of Medicare · through Oct 1, 2026
620 HILLCREST RD NW, SUITE 300, LILBURN, GA 30047(770) 638-1577 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael James Brissett Ph.d. NPPES

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

DR. MICHAEL JAMES BRISSETT PH.D. (NPI 1407914773) is an individual clinical provider in Lilburn, Georgia, licensed in Georgia (000558) and active in the NPI registry since December 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407914773
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL JAMES BRISSETTCredential: PH.D.
Location Address620 HILLCREST RD NW, SUITE 300Lilburn, GA 30047-1709
Mailing Address620 Hillcrest Rd Nw, Suite 300Lilburn, GA 30047-1709 · (770) 638-1577
Phone(770) 638-1577
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 18, 2012
✔ NPI 1407914773 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 GA · 000558
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.
620 HILLCREST RD NW, Lilburn, GA 30047
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Other Identifiers 2

Medicare ID-Type Unspecified68BBFQMGA
Medicaid00494205CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael James Brissett Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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.

Other Providers at the Same Location NPPES 3

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

GRACEPOINT COUNSELING ASSOCIATES
Psychologist (Clinical)
620 HILLCREST RD NW, SUITE 300
LILBURN, GA 30047
Gwinnett County (770) 638-1577
PREMIER MD GROUP INC.
Family Medicine
620 HILLCREST RD NW, SUITE 100
LILBURN, GA 30047
Gwinnett County (770) 925-7001
DR. DONALD LEE DAVIDSON PH.D.
Psychologist (Clinical)
620 HILLCREST RD NW, SUITE 300
LILBURN, GA 30047
Gwinnett County (770) 638-1577

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 Brissett's NPI number?

The NPI number for Michael Brissett is 1407914773. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Michael Brissett located?

Michael Brissett practices at 620 Hillcrest Rd NW Suite 300, Lilburn, GA 30047. The listed phone number is (770) 638-1577.

What is Michael Brissett's specialty?

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

Is Michael Brissett enrolled in Medicare?

No. Michael Brissett has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Brissett was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.