Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Anthony Avidano, MD

Individual provider Otolaryngology Physician · NPI 1780680462

Dr. Michael Anthony Avidano, MD is an Otolaryngology in Stockbridge, Georgia. Graduated from University of Michigan Medical School in 1990, 36 years ago. Practices with South Atlanta Ear Nose and Throat PC, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Trained at
University of Michigan Medical School
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1101 Hospital Dr Ste 100A
Stockbridge, GA 30281-9076
Phone: (770) 474-7416
Fax: (770) 389-6210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 039722 (GA)

Record details

NPI number1780680462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESJanuary 4, 2010
Mailing address1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1990 (36 years in practice)
Group practice South Atlanta Ear Nose And Throat Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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