Michael P Kavanagh , CPO
Orthotist β’ Fort Moore, GA
6600 Van Aalst Blvd
Fort Moore, GA 319052102
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
NPPES lists 1 additional practice-address record in Pine Mountain, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Orthotist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fort Moore and Georgia
2 active clinicians are listed under Orthotist with a practice address in Fort Moore, GA (20 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-02-04NUCC Taxonomy Code: 222Z00000X
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
NUCC Taxonomy Code: 224P00000X
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
125 Perry Mill Rd
Pine Mountain, GA 318225112
Phone: 7703284158
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Urology
Doctor of Osteopathic Medicine (D.O.)
Social Worker - Clinical
Licensed Clinical Social Worker
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6600 VAN AALST BLVD, FORT MOORE, GA 319052102 (Tel: 7624081467)
Registered at 6600 VAN AALST BLVD, FORT BENNING, GA 319052102 (Tel: 7624081467)
Prosthetist (license number reported to NPPES: GA 34)
NPI status registered as active in NPPES database
Registered at 1485 HIGHWAY 34 EAST, SUITE 15, NEWNAN, GA 30265 (Tel: 7706834870)
Registered at 125 PERRYS MILL RD, PINE MOUNTAIN, GA 318225112 (Tel: 7066639715)
Recorded as MICHAEL KAVANAGH, CPO
Orthotist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
125 Perrys Mill Rd
Pine Mountain, GA 318225112
Phone: 7066639715