# J. MICHAEL PETWAY, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578734893
- **Authorized official:** DR. JAMES MICHAEL PETWAY M.D., F.C.C. P. (CEO)
- **Authorized official phone:** (770) 886-6718

## Contact information

- **Practice address:** 106 PILGRIM VILLAGE DR, SUITE 400, CUMMING, GA 30040-9241
- **Practice address phone:** (770) 886-6718
- **Mailing address:** 562 LAKELAND PLZ, SUITE \#158, CUMMING, GA 30040-2783
- **Mailing address phone:** (770) 886-6718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 21271 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 21271 | GA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 21271 | GA | — |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/15/2008