Individual provider Active NPI

Michael Thomas Primak Jr., PHYSICIAN ASSISTANT

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1275845190
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01946 Issued in NC
Practice address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone
(828) 213-4411
Fax
(828) 213-0275
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 0010-01946 NC
Physician Assistant 363A00000X 0010-01946 NC Primary

Addresses

Primary practice location

509 Biltmore Ave
Asheville, NC 28801-4601

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Associates, Inc CurrentSince Jul 23, 2014 Accepting new patients
Angel Medical Center, Inc. CurrentSince Jan 21, 2019 Accepting new patients
Carolina Mountain Emergency Medicine PA Past Accepting new patients

Locations

21 Hospital Dr
Asheville, NC 28801
Phone (828) 213-0100

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

Organizations & group practices 3

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1275845190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-213-4411",
            "fax_number": "828-213-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-4411",
            "fax_number": "828-213-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMAK",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01946",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.