Individual provider Active NPI

Michael Jay Carmichael, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Florence, SC
National Provider Identifier
1194755751
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
36299 Issued in SC
Practice address
101 S Ravenel St
Suite 270
Florence, SC 29506-2644
Phone
(843) 777-7020
Fax
(843) 664-9545
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME44228 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 36299 SC Primary

Addresses

Primary practice location

101 S Ravenel St
Suite 270
Florence, SC 29506-2644

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7020

Other practice location 1

1720 SE 16th Ave Ste 303
Ocala, FL 34471-4620
Phone (352) 369-0288

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.carmichael@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040326000973 FL Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 3072416379 Reassigns benefits to 1 organization
I20131209000133 SC Practitioner - Thoracic Surgery 3072416379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36299SCMDPharmacist
ME44228FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Venice Cardiovascular Associates PL Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 12, 2004 Accepting new patients
Venice Cardiovascular Anesthesia Associates PLLC Past Accepting new patients
Stuart Cardiovascular Associates, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 31, 2006 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC PastSince Jul 31, 2006 Accepting new patients

Locations

1720 SE 16th Ave
Ste 303
Ocala, FL 34471
Phone (352) 368-1661

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: mcarmichael22232@directmcleodehealth.org
  • Direct secure messaging: michael.carmichael@mpaii.eclinicaldirectplus.com

Organizations & group practices 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1194755751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7020",
            "fax_number": "843-664-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST",
            "address_2": "SUITE 270",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062644",
            "telephone_number": "843-777-7020",
            "fax_number": "843-664-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 SE 16th Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714620",
            "country_code": "US",
            "telephone_number": "352-369-0288",
            "fax_number": "352-867-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME44228",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "36299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.carmichael@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 S Ravenel St",
            "address_2": "Suite 270",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.