Healthcare Provider Details

I. General information

NPI: 1144488636
Provider Name (Legal Business Name): MICHAEL TZVI EPSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 MOUNT VERNON RD STE G
ATLANTA GA
30338-4245
US

IV. Provider business mailing address

1730 MOUNT VERNON RD STE G
ATLANTA GA
30338-4245
US

V. Phone/Fax

Practice location:
  • Phone: 470-660-4329
  • Fax: 770-502-6612
Mailing address:
  • Phone: 470-660-4329
  • Fax: 770-502-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number79265
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA130717
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: