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MR. MICHAEL P KAVANAGH CPO
NPI 1619032497
Orthotist in Fort Moore, GA

Active since December 22, 2006
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-1467 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Sep 17, 2019 (2 updates tracked since 2019).

About Mr. Michael P Kavanagh Cpo NPPES

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

MR. MICHAEL P KAVANAGH CPO (NPI 1619032497) is an individual orthotist provider in Fort Moore, Georgia, licensed in Georgia (34) and active in the NPI registry since December 2006. He maintains a secondary practice location in Pine Mountain.

NPPES Registry Identity

NPI1619032497
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. MICHAEL P KAVANAGHCredential: CPO
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address125 Perrys Mill RdPine Mountain, GA 31822-5112 · (706) 663-9715 · Fax (770) 683-4872
Phone(762) 408-1467
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1619032497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in GA · 34
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License 34 (GA)
6600 VAN AALST BLVD, Fort Moore, GA 31905
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Secondary Practice Location 1

Location 1125 Perry Mill RdPine Mountain, GA 31822-5112 · Phone (770) 328-4158

Other Identifiers 1

Medicaid836804665AGA

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.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Kavanagh's NPI number?

The NPI number for Michael Kavanagh is 1619032497. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Michael Kavanagh located?

Michael Kavanagh practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-1467.

What is Michael Kavanagh's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Michael Kavanagh was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.