Michael Daren Mudrey, DO
Michael Daren Mudrey is a Surgery Physician provider (Surgery) practicing in Acworth, GA, registered in the NPPES registry with NPI 1376574863 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376574863 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael Daren Mudrey |
| Credential | DO |
| Sex | Male |
| Practice address | 3540 COBB PKWY, STE 100, Acworth, GA, 30101 |
| Phone | 7066323711 |
| Enumeration date | 2006-07-05 |
| Last updated in NPPES | 2020-02-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Secondary | 038564 | GA |
| 208600000X | Surgery Physician | Primary | 38564 | GA |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000621398J | Medicaid | GA | — |
Copy-ready billing details
Provider: Michael Mudrey, DO NPI: 1376574863 Taxonomy: 208600000X (Surgery Physician) Address: 3540 COBB PKWY, STE 100, Acworth, GA, 30101
Verify this record
Cross-check NPI 1376574863 against the authoritative CMS record: view Michael Daren Mudrey on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-11.