MICHAEL BRIAN MACINTIRE (M.D.) – Family Medicine Physician, NPI 1962769125

MICHAEL BRIAN MACINTIRE (M.D.) is a healthcare provider. based in Morrow, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 62828 (MN). The NPI Number for MICHAEL BRIAN MACINTIRE (M.D.) is 1962769125

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BRIAN MACINTIRE (M.D.)
NPI
1962769125
Phone
(770) 968-6464
Address
1000 Corporate Center Dr
Enumeration Date
12 April 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
9528856150
Graduation Year
2012 (14 years ago)
PAC ID
8729206164
Group Practice PAC ID
7113830142
Professional Enrollment ID
I20171005000099
Address ID
MN554204773BL600XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for MICHAEL BRIAN MACINTIRE (M.D.)

  • 1000 Corporate Center Dr

    Suite # 200

    Morrow, GA 302604180

    Phone: (770) 968-6464

    Fax: (770) 968-6465

    Type: Location

  • 6341 UNIVERSITY AVE NE

    FRIDLEY, MN 55432

    Phone: (763) 586-5844

    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: 2017-10-05

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
I20171005000099IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9072$0
36415Insertion of needle into vein for collection of blood sample8464$0
83036Hemoglobin a1c level5343$0
80053Blood test, comprehensive group of blood chemicals4037$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
View full utilization report →

Insurance plans in this area (ZIP 30260)

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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: 7113830142View full group profile

Reviews

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Frequently asked questions

Where can patients find MICHAEL BRIAN MACINTIRE (M.D.)'s NPI?
You can confirm MICHAEL BRIAN MACINTIRE (M.D.) with NPI 1962769125; it appears in the national provider directory.
Does this profile mean MICHAEL BRIAN MACINTIRE (M.D.) is currently active?
Yes — MICHAEL BRIAN MACINTIRE (M.D.) appears active in the national provider directory.
What does MICHAEL BRIAN MACINTIRE (M.D.) treat or focus on?
Patients typically see MICHAEL BRIAN MACINTIRE (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL BRIAN MACINTIRE (M.D.)?
The page summarizes Morrow, Georgia for MICHAEL BRIAN MACINTIRE (M.D.); expand the address list for detail.
Is MICHAEL BRIAN MACINTIRE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1962769125. Always confirm identity and privileges with the practice and licensing boards.

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