Individual provider Active NPI

Michael Louis Cahn, M.D., PA

  • Surgery Physician
  • Shallotte, NC
National Provider Identifier
1215005459
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200000740 Issued in NC
Practice address
4503 Main St Ste 2
Shallotte, NC 28470-4583
Phone
(910) 363-4949
Fax
(910) 477-6285
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200000740 NC Primary

Addresses

Primary practice location

4503 Main St Ste 2
Shallotte, NC 28470-4583

Mailing address

4503 Main St Ste 2
Shallotte, NC 28470-4583
Phone (910) 363-4949

Other practice location 1

13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093
Phone (910) 754-5988

Other practice location 2

924 N Howe St
Southport, NC 28461-3038
Phone (910) 363-4949

Other identifiers 1

IdentifierTypeStateIssuer
89126VTMedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000109 NC Practitioner - General Surgery 6204801566 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L Cahn MD PA Surgery CurrentSince Oct 26, 2002 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group LLC CurrentSince Mar 14, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 14, 2021 Accepting new patients
Luis E. Donayre, M.D., P.a. Surgery Past Accepting new patients

Locations

4503 Main St
Ste 2
Shallotte, NC 28470
Phone (910) 363-4949

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

4503 Main St
Shallotte, NC 28470
Phone (910) 721-3157

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

4222 Long Beach Rd SE
Southport, NC 28461
Phone (910) 269-2053

13 Medical Campus Dr NW
#102
Supply, NC 28462
Phone (910) 754-5988

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4503 Main St
Shallotte, NC 28470-4447
Phone (910) 363-4949

924 N Howe St
Southport, NC 28461-3038
Phone (910) 641-2378

Hospital & facility affiliations

  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1121

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1215005459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 MAIN ST STE 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704583",
            "telephone_number": "910-363-4949",
            "fax_number": "910-477-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 MAIN ST STE 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704583",
            "telephone_number": "910-363-4949",
            "fax_number": "910-477-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Medical Campus Dr NW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624093",
            "country_code": "US",
            "telephone_number": "910-754-5988",
            "fax_number": "910-754-5989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 N Howe St",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284613038",
            "country_code": "US",
            "telephone_number": "910-363-4949",
            "fax_number": "910-477-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAHN",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D., PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200000740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126VT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.