Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL JOHN CREDIDIO PSYD
NPI 1669536405
Psychologist in Newnan, GA

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
2 LEE STREET, SUITE A, NEWNAN, GA 30263(678) 326-4488(678) 669-2693 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael John Credidio Psyd NPPES

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

DR. MICHAEL JOHN CREDIDIO PSYD (NPI 1669536405) is an individual psychologist in Newnan, Georgia, licensed in Georgia (PSY002670) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newnan, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1669536405
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL JOHN CREDIDIOCredential: PSYD
Location Address2 LEE STREET, SUITE ANewnan, GA 30263-7508
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Fax(678) 669-2693
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1669536405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY002670
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2 LEE STREET, Newnan, GA 30263

Secondary Practice Location 1

Location 12959 Sharpsburg McCullum Rd Ste 105Newnan, GA 30265-2297 · Phone (678) 423-5500 · Fax (770) 400-9313

Other Identifiers 2

Medicaid281868610AGA
Medicaid281868610CGA

Accepted Insurance

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

Dr. Michael John Credidio Psyd 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 ID9436505567
PECOS Enrollment IDI20231026001388
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.

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 Credidio's NPI number?

The NPI number for Michael Credidio is 1669536405. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Michael Credidio located?

Michael Credidio practices at 2 Lee Street Suite A, Newnan, GA 30263. The listed phone number is (678) 326-4488.

What is Michael Credidio's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Credidio enrolled in Medicare?

Yes. Michael Credidio 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.

What insurance does Michael Credidio accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Michael Credidio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Credidio was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.