Individual provider Active NPI

Michael Richardson Prafka, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1245667575
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04535 Issued in NC
Practice address
6715 McCrimmon Pkwy Ste 300
Cary, NC 27519-1916
Phone
(919) 481-4997
Fax
(919) 388-3271
NPI assigned
Oct 1, 2013
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 0010-04535 NC Primary

Addresses

Primary practice location

6715 McCrimmon Pkwy Ste 300
Cary, NC 27519-1916

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone (919) 791-2040

Other practice location 2

3050 Duraleigh Rd Ste 111
Raleigh, NC 27612-5451
Phone (984) 215-6990

Other identifiers 1

IdentifierTypeStateIssuer
1245667575MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mprafka126002@direct.UNC.nchie.net Direct

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
I20140103000190 NC Practitioner - Physician Assistant 6507094281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

1059 Beaver Creek Commons Dr
Unit 230
Apex, NC 27502-3918
Phone (984) 960-1300

1104 Market Ctr Dr
Suite 130
Morrisville, NC 27560-7504
Phone (984) 960-1200

11200 Governor Manly Way
Raleigh, NC 27614-7360

1165 US Hwy 70 W
Garner, NC 27529-2547
Phone (984) 960-1400

1617 N Main St
Fuquay Varina, NC 27526-9021

3050 Duraleigh Rd
Raleigh, NC 27612-5451

37 Pineville Blvd
Clayton, NC 27527-9355

4420 Lake Boone TRL
Raleigh, NC 27607-7505

51 Mosaic Blvd
Pittsboro, NC 27312-4945

6602 Knightdale Blvd
Knightdale, NC 27545-6526

781 Avent Ferry Rd
Holly Springs, NC 27540-7776

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Sep 1, 2018 Accepting new patients
Unc Physicians Network, LLC CurrentSince Sep 1, 2018 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

1041 Noell Ln
Ste 105
Rocky Mount, NC 27804
Phone (252) 442-9600

Interoperability endpoints

  • Direct secure messaging: mprafka126002@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245667575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 MCCRIMMON PKWY STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191916",
            "telephone_number": "919-481-4997",
            "fax_number": "919-388-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Atrium Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076673",
            "country_code": "US",
            "telephone_number": "919-791-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Duraleigh Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125451",
            "country_code": "US",
            "telephone_number": "984-215-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAFKA",
        "first_name": "MICHAEL",
        "middle_name": "RICHARDSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245667575",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprafka126002@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2417 Atrium Dr Ste 150",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.