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MR. MICHAEL SCARBOROUGH FNP-C
NPI 1942569736
Nurse Practitioner - Family in Decatur, GA

Active since May 14, 2012PECOS Enrolled
215 CHURCH ST STE 102, DECATUR, GA 30030(404) 445-0350 Get Directions Write a Review

NPPES record last updated: September 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2020, Aug 23, 2018 (2 updates tracked since 2018).

About Mr. Michael Scarborough Fnp-c NPPES

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

MR. MICHAEL SCARBOROUGH FNP-C (NPI 1942569736) is an individual family provider in Decatur, Georgia, licensed in Georgia (F0412159) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2011).

NPPES Registry Identity

NPI1942569736
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL SCARBOROUGHCredential: FNP-C
Location Address215 CHURCH ST STE 102Decatur, GA 30030-3330
Mailing Address1646 Rockcliff Pl SeAtlanta, GA 30316-4010 · (706) 202-6394
Phone(404) 445-0350
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2011
Enumeration DateMay 14, 2012
Last NPPES UpdateSeptember 19, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2020
✔ NPI 1942569736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · F0412159
215 CHURCH ST STE 102, Decatur, GA 30030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Scarborough Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315196847
PECOS Enrollment IDI20120927000318
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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 Scarborough's NPI number?

The NPI number for Michael Scarborough is 1942569736. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Michael Scarborough located?

Michael Scarborough practices at 215 Church St Ste 102, Decatur, GA 30030. The listed phone number is (404) 445-0350.

What is Michael Scarborough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Scarborough enrolled in Medicare?

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

What insurance does Michael Scarborough accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michael Scarborough 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 Scarborough was last updated on September 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.