OrganizationActive
Summit Macon LLC
NPI 1104875913 · Emergency Medical Services (Emergency Medicine) Physician · Atlanta, GA
Provider details
- NPI number
- 1104875913
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bourland, President & Ceo(770) 994-9326
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
235 Peachtree St Ne
North Tower, Suite 2100
Atlanta, GA 30303-1401
Phone: (770) 994-9326
Fax: (770) 994-4747
Street-level locationGet directions
Mailing address
235 Peachtree St Ne
Atlanta, GA 30303-1401
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2008-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.