Individual provider Active NPI

Michael Lawrence Fisher, M.D.

  • Family Medicine Physician
  • Taylorsville, NC
National Provider Identifier
1104822196
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9800047 Issued in NC
Practice address
50 Macedonia Church Rd Ste a
Taylorsville, NC 28681-8414
Phone
(828) 732-5300
Fax
(828) 732-5301
NPI assigned
Jun 23, 2005
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9800047 NC Primary

Addresses

Primary practice location

50 Macedonia Church Rd Ste a
Taylorsville, NC 28681-8414

Mailing address

50 Macedonia Church Rd Ste a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Other identifiers 3

IdentifierTypeStateIssuer
891125FMedicaidNC
080164417OtherRAILROAD MEDICARE
1125FOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000001 NC Practitioner - Family Practice 0345412110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

210 13TH Ave PL NW
Hickory, NC 28601-2568

915 Tate Blvd SE
Hickory, NC 28602-4042

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800047NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Frye Medical Group LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Hickory Family Practice Associates, PA Family Medicine Current Accepting new patients
DLP Cardiology Physicians LLC Past Accepting new patients
Tenet Unifour Urgent Care Center LLC Past Accepting new patients

Locations

1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551

210 13th Avenue Pl NW
Ste 120
Hickory, NC 28601
Phone (828) 328-2941

52 12th Ave NE
Hickory, NC 28601
Phone (828) 328-2941

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

Interoperability endpoints

  • Direct secure messaging: michael.fisher.1@15786.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1104822196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MACEDONIA CHURCH RD STE A",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286818414",
            "telephone_number": "828-732-5300",
            "fax_number": "828-732-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MACEDONIA CHURCH RD STE A",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286818414",
            "telephone_number": "828-732-5300",
            "fax_number": "828-732-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9800047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891125F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080164417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1125F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.