Individual provider Active NPI

Michael Miller Stephanides, PA-C

  • Physician Assistant
  • Morganton, NC
National Provider Identifier
1194058081
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100766 Issued in NC
Practice address
301 Linville St
Morganton, NC 28655-7206
Phone
(828) 584-2481
Fax
(828) 584-8371
NPI assigned
Sep 10, 2009
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 100766 NC Primary

Addresses

Primary practice location

301 Linville St
Morganton, NC 28655-7206

Mailing address

301 Linville St
Morganton, NC 28655-7206
Phone (828) 584-2481

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000816 NC Practitioner - Physician Assistant 8022147339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Linville St
Morganton, NC 28655-7206
Phone (828) 584-2481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince May 1, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Family Medicine CurrentSince May 1, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Family Medicine Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Family Medicine CurrentSince Dec 22, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Family Medicine Current Accepting new patients
Women's Health Group Past Accepting new patients
Table Rock Family Medicine Family Medicine Past Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

301 Linville St
Morganton, NC 28655
Phone (828) 580-1400

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

5920 US Highway 70 E
Nebo, NC 28761
Phone (828) 659-9703

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533
  • Direct secure messaging: michael.stephanides.1@18322.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1194058081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557206",
            "telephone_number": "828-584-2481",
            "fax_number": "828-584-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANIDES",
        "first_name": "MICHAEL",
        "middle_name": "MILLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.