MIKE W. OU (M.D.) – Family Medicine Physician, NPI 1063442937

MIKE W. OU (M.D.) is a healthcare provider. based in Bowdon, Georgia. specializing in FAMILY PRACTICE, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 053301 (GA). The NPI Number for MIKE W. OU (M.D.) is 1063442937

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MIKE W. OU (M.D.)
NPI
1063442937
Phone
(770) 258-5424
Address
1125 E HIGHWAY 166
Enumeration Date
4 July 2006
Last Update Date
18 June 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7708125678
Graduation Year
2000 (26 years ago)
PAC ID
7113917477
Group Practice PAC ID
2769536143
Professional Enrollment ID
I20040517001561
Address ID
GA301178471CA225XXDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for MIKE W. OU (M.D.)

  • 1125 E HIGHWAY 166

    BOWDON, GA 301082401

    Phone: (770) 258-5424

    Fax: (770) 838-8980

    Type: Location

  • 119, Ambulance Drive, Carrollton, Carroll County, Georgia, 30117, United States

    SUITE 202

    CARROLLTON, GA 301173857

    Phone: (770) 836-9250

    Fax: (770) 836-9261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517001561IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test1817$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1717$0
83036Hemoglobin a1c level1413$0
View full utilization report →

Insurance plans in this area (ZIP 30108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769536143View full group profile
NameSpecialtyState
General SurgeryTN
O T O L A R Y N G O L O G YGA
-GA
Nurse PractitionerGA
O T O L A R Y N G O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)GA
Infectious DiseaseGA
U R O L O G YGA
-GA

Reviews

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Frequently asked questions

What is MIKE W. OU (M.D.)'s NPI number?
MIKE W. OU (M.D.)'s NPI is 1063442937 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MIKE W. OU (M.D.)?
For scheduling context, MIKE W. OU (M.D.) is shown as active in the registry.
What kind of doctor is MIKE W. OU (M.D.)?
MIKE W. OU (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MIKE W. OU (M.D.) associated with Bowdon?
Public fields place MIKE W. OU (M.D.) around Bowdon, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MIKE W. OU (M.D.) is noted as July 4, 2006 where the registry provides it.

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