Dr. Michael Joseph Gavenchak , MD
General Practice • Alpharetta, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Gavenchak has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Gavenchak, MD was a registered General Practice practicing in Alpharetta, GA. Throughout an active medical career spanning 6 years, Dr. Gavenchak provided care at the practice location at 325 CROOKED STICK DR until profile deactivation on 2018-06-18.
Practice Location & Contact Primary Location
325 Crooked Stick Dr
Alpharetta, GA 300043443
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Alpharetta, GA
Practicing in Alpharetta, GA (369 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 18, 2018
NPI status registered as active in NPPES database
Registered at 325 CROOKED STICK DR, ALPHARETTA, GA 300043443 (Tel: 7707540444)
Registered at 325 CROOKED STICK DR, ALPHARETTA, GA 300043443 (Tel: 7707540444)
Recorded as MICHAEL GAVENCHAK, M.D.
General Practice (License #48394 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
325 Crooked Stick Dr
Alpharetta, GA 300043443
Phone: 7707540444
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