Individual provider Active NPI

Dominique Mia Muhs, RPA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1245488360
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07199 Issued in NC
Practice address
674 Merrimon Ave Ste 101
Asheville, NC 28804-3586
Phone
(828) 348-7418
Fax
(828) 348-7419
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012378 NY
Physician Assistant 363A00000X 0010-07199 NC Primary

Addresses

Primary practice location

674 Merrimon Ave Ste 101
Asheville, NC 28804-3586

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

101 Hospital Road
Brookhaven Memorial Hospital
East Patchogue, NY 11772-0000
Phone (631) 654-7236

Other identifiers 1

IdentifierTypeStateIssuer
012378OtherNYNCCPA

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
I20180501001181 NC Practitioner - Physician Assistant 0648337535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

201 NC Hwy 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035

349 New Leiceser Hwy
Asheville, NC 28806-2046
Phone (828) 463-3238

674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07199NCMDPhysician Assistant
012378NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Range Urgent Care, PLLC CurrentSince Feb 14, 2018 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 3, 2023 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 3, 2023 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients
Brookhaven Cardiac LLC PastSince Jan 13, 2010 Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Past Accepting new patients
Aaa Vascular Care PLLC Past Accepting new patients

Locations

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: dmuhs1124851@direct.novanthealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1245488360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MERRIMON AVE STE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043586",
            "telephone_number": "828-348-7418",
            "fax_number": "828-348-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hospital Road",
            "address_2": "Brookhaven Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117720000",
            "country_code": "US",
            "telephone_number": "631-654-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHS",
        "first_name": "DOMINIQUE",
        "middle_name": "MIA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012378",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "012378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.