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DR. MICHAEL ANTHONY HERRON MD
NPI 1639239825
Internal Medicine in Warm Springs, GA

Active since December 11, 2006PECOS Enrolled
87.92/100
CMS Quality Rating
5995 SPRING ST, WARM SPRINGS, GA 31830(706) 655-3331(706) 655-9211 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2024, Jan 17, 2020, Jul 18, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Michael Anthony Herron Md NPPES

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

DR. MICHAEL ANTHONY HERRON MD (NPI 1639239825) is an individual internal medicine provider in Warm Springs, Georgia, licensed in Georgia (38797) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639239825
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ANTHONY HERRONCredential: MD
Location Address5995 SPRING STWarm Springs, GA 31830-2149
Mailing Address200 Corporate Blvd Ste 100bLafayette, LA 70508-3870 · (800) 893-9698
Phone(706) 655-3331
Fax(706) 655-9211
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1639239825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 38797
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 038797 (GA)
Also ListedHospitalistTaxonomy 208M00000X · License 038797 (GA)
5995 SPRING ST, Warm Springs, GA 31830
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11501 Richard Stokes DrDecatur, GA 30033 · Phone (404) 248-1344
Location 270 Medical Center DrCommerce, GA 30529-1078 · Phone (706) 335-1000 · Fax (706) 335-7701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Anthony Herron Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Herron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Emergency Services, Inc.
255 mi
Emergency Medicine
100 HOSPITAL ST
Booneville, MS 38829
  • Reassigned Medicare billing, Georgia enrollment
  • 53 clinicians in this Medicare group
NPI 1326007915 (662) 720-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services51 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31830 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

87.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.99
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 9

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

BHAVIN V. MEHTA, DPM, LLC
Podiatrist (Foot & Ankle Surgery)
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-9362
MERIWETHER HEALTHCARE, L.L.C.
Pharmacy (Long Term Care Pharmacy)
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-3331
MERIWETHER HEALTHCARE, L.L.C.
Medicare Defined Swing Bed Unit
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-3331
MERIWETHER COUNTY HOSPITAL AUTHORITY
General Acute Care Hospital (Critical Access)
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-3331
SOUTHERN CRESCENT NURSE ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (770) 655-3331
ARIANNA JOY DOCTOR CNA
Technician/Technologist
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-3331
MERIWETHER HEALTHCARE, L.L.C.
Skilled Nursing Facility
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (706) 655-3331
ROBERT KEITH GRAHAM MD
General Practice
5995 SPRING ST
WARM SPRINGS, GA 31830
Meriwether County (800) 893-9698

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 Herron's NPI number?

The NPI number for Michael Herron is 1639239825. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Michael Herron located?

Michael Herron practices at 5995 Spring St, Warm Springs, GA 31830. The listed phone number is (706) 655-3331.

What is Michael Herron's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Herron enrolled in Medicare?

Yes. Michael Herron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Herron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Herron reassigns Medicare benefits to United Emergency Services, Inc. (Booneville, MS). 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 Michael Herron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Herron was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.