Individual ProviderMichael David WarlickInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address725 Jesse Jewell Pkwy SE, Gainesville, GA 30501-3834(770) 535-0191(770) 718-1122PECOS EnrollmentBased on the most recent information from CMS, provider Michael David Warlick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1851361018Provider TypeIndividualFull NameWarlick, Michael DavidCredentialDOGenderMaleSole ProprietorNoEnumeration Date1/23/2006Last Updated8/28/2014Contact InformationPractice LocationPractice Address725 Jesse Jewell Pkwy SE, Gainesville, GA 30501-3834Phone(770) 535-0191Fax(770) 535-0916Mailing LocationMailing AddressPO Box 658, Gainesville, GA 30503-0658Phone(770) 718-1122Fax(770) 535-7445Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense048098GeorgiaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense048098GeorgiaProvider IdentifiersIDDescriptionIssuerID52586056DescriptionOtherIssuerBCBSGeorgiaID7600058DescriptionOtherIssuerUNITED HEALTHCAREGeorgiaID10045255DescriptionOtherIssuerAMERIGROUPGeorgiaID341126DescriptionOtherIssuerWELLCAREGeorgiaID000861737BDescriptionMedicaidIssuerUnlistedGeorgiaID3305980DescriptionOtherIssuerCIGNAGeorgiaID110224863DescriptionOtherIssuerRR MEDICARE-GRP # CC4177Georgia