Active NPI
Michael B Thomas, M.D.
- Family Medicine Physician
- Huntersville, NC
National Provider Identifier
1124008073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24951
- Practice address
- 9611 Sherrill Estates Rd Ste B
Huntersville, NC 28078 - Phone
- (423) 343-7022
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24951 | NC | Primary |
Addresses
Primary practice location
9611 Sherrill Estates Rd Ste B
Huntersville, NC 28078
Mailing address
PO Box 9
Attn Credentialing
Kingsport, TN 37662
Phone (423) 857-2066
Other practice location 1
19485 Old Jetton Rd
Suite 100
Cornelius, NC 28031-6582
Phone (704) 384-1775
Other practice location 2
19485 Old Jetton Rd
Suite 100
Cornelius, NC 28031-6582
Phone (704) 384-1775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8982668 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552694400000",
"number": "1124008073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"address_2": "ATTN CREDENTIALING",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37662",
"telephone_number": "423-857-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 SHERRILL ESTATES RD STE B",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "423-343-7022"
}
],
"practiceLocations": [
{
"address_1": "19485 Old Jetton Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280316582",
"country_code": "US",
"telephone_number": "704-384-1775",
"fax_number": "704-384-1776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19485 Old Jetton Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Cornelius",
"state": "NC",
"postal_code": "280316582",
"country_code": "US",
"telephone_number": "704-384-1775",
"fax_number": "704-384-1776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2019-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "24951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8982668",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.