Individual provider Active NPI

Adam Henryk Michniak, AEMT

  • Emergency Medical Services (Emergency Medicine) Physician
  • Winterville, NC
National Provider Identifier
1114856457
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
P547193 Issued in NC
Practice address
3000 Mill St
Winterville, NC 28590-8903
Phone
(984) 664-6000
NPI assigned
May 14, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X P547193 NC
Technician/Technologist 156F00000X P547193 NC
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X P547193 NC Primary

Addresses

Primary practice location

3000 Mill St
Winterville, NC 28590-8903

Mailing address

414 Estate Rd
Wilmington, NC 28405-3386
Phone (704) 430-0953

Other practice location 1

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-2840

Other identifiers 2

IdentifierTypeStateIssuer
P547193OtherNCNORTH CAROLINA OFFICE OF EMERGENCY MEDICAL SERVICES
E3356908OtherNCNATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P547193NCMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1114856457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ESTATE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053386",
            "telephone_number": "704-430-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MILL ST",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908903",
            "telephone_number": "984-664-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Shipyard Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036161",
            "country_code": "US",
            "telephone_number": "910-791-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHNIAK",
        "first_name": "ADAM",
        "middle_name": "HENRYK",
        "credential": "AEMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NC",
            "license": "P547193",
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NC",
            "license": "P547193",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "P547193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA OFFICE OF EMERGENCY MEDICAL SERVICES",
            "identifier": "P547193",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS",
            "identifier": "E3356908",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.