Provider Demographics
NPI:1952303679
Name:FRANKLIN, MICHAEL EVERETT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EVERETT
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 RIVERWOOD PKWY SE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3304
Mailing Address - Country:US
Mailing Address - Phone:770-914-0116
Mailing Address - Fax:
Practice Address - Street 1:3290 SIXES RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114
Practice Address - Country:US
Practice Address - Phone:770-914-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101711363AM0700X
TNPA1823363AM0700X
GA7600363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4355303OtherBCBST
TN1823OtherSTATE MEDICAL LICENSE
TN1518338Medicaid
TNP01237854OtherRAILROAD MEDICARE
TN1518338OtherBLUECARE
TNMF2129307OtherDEA
TN4355303OtherBCBST
NCR61270Medicare UPIN
NC2754950AMedicare PIN