MICHAEL BRENT KOCH M.D.
NPI 1508900101
General Acute Care Hospital in Smyrna, GA

Q: What is Michael Koch's NPI number?

The NPI number for Michael Koch is 1508900101. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Michael Koch's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Koch was last updated on July 8, 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.

Active since February 16, 2007PECOS Enrolled

3949 S COBB DR SE, SMYRNA, GA 30080(770) 438-5215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Brent Koch M.d. NPPES

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

MICHAEL BRENT KOCH M.D. (NPI 1508900101) is an individual general acute care hospital provider in Smyrna, Georgia, licensed in Georgia (043075) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508900101

Entity TypeIndividualMale

Primary Taxonomy282N00000X

Provider Legal NameMICHAEL BRENT KOCHCredential: M.D.

Location Address3949 S COBB DR SESmyrna, GA 30080-6342

Mailing Address50 Lullwater Estates Rd.Atlanta, GA 30307 · (404) 378-1864

Phone(770) 438-5215

Sole ProprietorYes

Enumeration DateFebruary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508900101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in GA · 043075

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

3949 S COBB DR SE, Smyrna, GA 30080

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Other Identifiers 3

Medicare UPINH52602GA

Medicare ID-Type Unspecified22BDGN01GA

Medicaid00935129BGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Brent Koch M.d. 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 20

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

BARBARA B WATERS MD

Radiology (Diagnostic Radiology)