Douglas Michael, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25060 Issued in NC

Practice address

305 1St St E
Conover, NC 28613-1715

Phone

(828) 464-3821

Fax

(828) 464-8994

NPI assigned

Jan 20, 2006

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Cornerstone Health Care LLC

  • Clinical Medical Laboratory
  • Conover, NC
  • NPI 1871159145
  NPD (past)
• Crown Health Care

  • Clinic/Center
  • Conover, NC
  • NPI 1700965464
  NPD (past)
• Crown Health Care PA

  • Primary Care Clinic/Center
  • Conover, NC
  • NPI 1639138142
  NPD (past)
• Crown Health Care PA

  • Clinic/Center
  • Hickory, NC
  • NPI 1679652564
  NPD (past)
• Crown Health Care, PA

  • Clinic/Center
  • Hickory, NC
  • NPI 1043356686
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174503593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286130249",
            "telephone_number": "828-465-9730",
            "fax_number": "828-465-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST ST E",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131715",
            "telephone_number": "828-464-3821",
            "fax_number": "828-464-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "25060",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958778",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Village Pharmacy, Inc.
• Medical Village Vital Care, Inc.
• Medipharm, Inc.
• Melanin Therapy and Wellness Practice
• Mollie Merritt, ATC/ L
• Lisa Vollano Michel, P.A.
• David McIver Millsaps, M.D.
• Miss Irene'S Speech Therapy P.C.
• Charles Maurice Moore, MA,LPC,LCAS,NCC,ICAA
• Joseph Moore, RPH

• Family Medicine Physician in Conover, NC
• Providers in Conover, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.