Michael Cheriyampurathu Augustine, NP in Canton, GA

Michael Cheriyampurathu Augustine, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Canton, Georgia. His current practice location is 460 Northside Cherokee Blvd Ste 130, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 493-2527.

Michael Cheriyampurathu Augustine is licensed to practice in Georgia (license number RN316226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538886916.

Contact Information

	Michael Cheriyampurathu Augustine, NP
	460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017
	(678) 493-2527
	(678) 493-5608

Map and Direction

Provider's Profile

Full Name	Michael Cheriyampurathu Augustine
Gender	Male
Speciality	Nurse Practitioner - Critical Care Medicine
Location	460 Northside Cherokee Blvd Ste 130, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538886916
Provider Enumeration Date: 10/26/2022
Last Update Date: 11/29/2022

Medicare PECOS Information:

PECOS PAC ID: 2769850304
Enrollment ID: I20221201002329

Medical Identifiers

Medical identifiers for Michael Cheriyampurathu Augustine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538886916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	RN316226 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Cheriyampurathu Augustine allows following entities to bill medicare on his behalf.

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Cheriyampurathu Augustine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael Cheriyampurathu Augustine, NP 460 Northside Cherokee Blvd Ste 140, Canton, GA 30115-8022 Ph: () -	Michael Cheriyampurathu Augustine, NP 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 Ph: (678) 493-2527

Reviews and Comments

Nurse Practitioner Nurses in Canton, GA

Mrs. Holly Allen, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115 Phone: 770-292-3490 Fax: 770-721-5615
Maureen Gicharu, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Dr. Julia Mcclellan Thorne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115 Phone: 678-824-5466 Fax: 888-299-4377
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114 Phone: 770-704-6988 Fax: 770-720-8775
Mrs. Gracelyn Ambrister Deneus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3755 Sixes Rd, Canton, GA 30114 Phone: 404-395-0890 Fax: 470-299-9936
Mr. William Cole, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115 Phone: 770-720-0610
Kelly Marie Shirley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 Phone: 770-224-1400

Michael Cheriyampurathu Augustine, NP - Medicare Nurse Practitioner in Canton, GA