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

Dr. Michell Lopez Luciano, MD

Individual provider Internal Medicine Physician · NPI 1962923003

Dr. Michell Lopez Luciano, MD is an Internal Medicine in Athens, Georgia. Qualified in 2013, 13 years ago. Practices with Piedmont Athens Primary Care LLC, a 77-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2017
Specialties on file
2
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

1199 Prince Ave
Athens, GA 30606-2797
Phone: (706) 475-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4422 3rd Ave, Bronx, NY 10457-2545 — (718) 960-9000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 85050 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 85050 (GA)

Record details

NPI number1962923003
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 24, 2020
Mailing address4422 3rd Ave, Bronx, NY 10457-2545

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Piedmont Athens Primary Care Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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