Michael Damico

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6088 Issued in GA

Practice address

125 Hospital Dr
Spruce Pine, NC 28777-3035

Phone

(772) 468-4551

NPI assigned

May 10, 2011

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spruce Pine Emergency Services PLLC

  • Emergency Medicine Physician
  • Spruce Pine, NC
  • NPI 1760740054
  NPD (past)
• Gordon Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Calhoun, GA
  • NPI 1205290467
  NPD (past)
• Hargrave Emergency Physicians LLC

  • Emergency Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1760744668

  Physician Assistant

  NPD (past)
• HMC Physician Billing LLC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1467504167
  NPD (past)
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1073805032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JESSICA LN",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "772-468-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6088",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Arthur Cort, MD
• Amanda Cranston, OTR/L
• Bruce Dennis Crawford, DDS
• Jill R Czaja, PA-C
• Brittany Alyssa Dalama, COTA
• Dayspring Family Health & Wellness, PLLC
• Lucia Derks, M.D.
• Don Waldrop Enterprises, Inc
• James Drake
• David J Dubois, D.D.S

• Physician Assistant in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.