Individual provider Active NPI

Michael Ray Owens, M.D.

  • Internal Medicine Physician
  • Clayton, NC
National Provider Identifier
1306874649
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-01543 Issued in NC
Practice address
19 Syphrona Cir
Clayton, NC 27527-7055
Phone
(724) 304-8200
NPI assigned
Jun 28, 2006
Last updated
Jul 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-01543 NC Primary

Addresses

Primary practice location

19 Syphrona Cir
Clayton, NC 27527-7055

Mailing address

19 Syphrona Cir
Clayton, NC 27527-7055
Phone (724) 304-8200

Other identifiers 3

IdentifierTypeStateIssuer
0012529150016MedicaidPA
2336770MedicaidOH
3810013574MedicaidWV

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
I20071023000746 NC Practitioner - Emergency Medicine 1557358306 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01543NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Networks LLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Freedom Healthcare Services CurrentSince Oct 1, 2018 Accepting new patients
Ria Health PC CurrentSince Jul 18, 2025 Accepting new patients
Freedom Healthcare Services CurrentSince Oct 1, 2018 Accepting new patients
Elkin Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Westmoreland Emergency Medicine Specialists, PC Emergency Medicine Past Accepting new patients
Miners Hospital Emergency Medicine Past Accepting new patients
SRMC Healthcare Group LLC Emergency Medicine Past Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

316 Station St
Ste 100
Bridgeville, PA 15017
Phone (412) 221-1091

316 Station St
Ste 200
Bridgeville, PA 15017
Phone (412) 914-8484

451 Washington Ave
Bridgeville, PA 15017
Phone (412) 722-9661

Interoperability endpoints

  • Direct secure messaging: michael.owens.1@16211.direct.athenahealth.com
  • Direct secure messaging: mowens@direct.excelahealth.org

Organizations & group practices 9

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1306874649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SYPHRONA CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275277055",
            "telephone_number": "724-304-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SYPHRONA CIR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275277055",
            "telephone_number": "724-304-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012529150016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336770",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013574",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.