P Praxis·MD
● Active Type 1 · Individual

Samuel A Mickelson, MD

Otolaryngology·Atlanta, GA· NPI 1467410977 · Enumerated 2006 · 20 years on NPI
Mickelson is 1 of 2 otolaryngology providers in Atlanta and 1 of 9 in Georgia.
NPI age
20 years
Enumerated 2006-05-03
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-05-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9 active otolaryngology providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 44% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
960 Johnson Ferry Rd, Suite 200
Atlanta, GA 30342
📞 4049430900fax 4049431390
Mailing address
960 Johnson Ferry Rd, Suite 200
Atlanta, GA 30342
📞 4049430900fax 4049431390

Specialties

  • Otolaryngology Primary
    An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm...
    GA license #041173 taxonomy 207YS0012X
  • Otolaryngology
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #041173 taxonomy 207Y00000X

Practice context

Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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