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

Samuel A Mickelson, MD

Individual provider Otolaryngology Physician · NPI 1467410977

Samuel A Mickelson, MD is an Otolaryngology in Atlanta, Georgia. Graduated from University of Michigan Medical School in 1982, 44 years ago. Practices with Advanced Ear Nose and Throat Associates PC, a 6-clinician group. Licensed in Georgia.

Years since qualifying
44
Trained at
University of Michigan Medical School
Licensed in
GA
In the registry since
2006
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

960 Johnson Ferry Rd Ste 200
Atlanta, GA 30342
Phone: (404) 943-0900
Fax: (404) 943-1390
Show map & directions

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

Specialties & licences

Sleep Medicine (Otolaryngology) Physician (primary) Taxonomy 207YS0012X · Licence 041173 (GA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 041173 (GA)

Record details

NPI number1467410977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESMay 23, 2008

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesSLEEP MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Group practice Advanced Ear Nose And Throat Associates Pc — 6 clinicians
Accepts Medicare assignment Not indicated

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