Michael Allen Knott, MPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102592 Issued in NC

Practice address

605 W Cumberland St
Dunn, NC 28334-4823

Phone

(910) 891-1391

Fax

(910) 891-1687

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mknott@187.securemail.prognocis.com

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.

• Med Fast, P. C.

  • Physician Assistant
  • Dunn, NC
  • NPI 1285722215
  Medicare reassignment
• Shoreview Medical Associates, PLLC

  • Specialist
  • Carolina Beach, NC
  • NPI 1003879842
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316151715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344823",
            "telephone_number": "910-891-1391",
            "fax_number": "910-891-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344823",
            "telephone_number": "910-891-1391",
            "fax_number": "910-891-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Kidd, MA, LCMHCA
• Alaina Mae Kidwell, LCMHC
• Kidzcare Pediatrics, PC
• Sarah Kilmer, MSN, CPNP
• Barbara King
• Michael Waldemar Knudsen, M.D.
• Anna Jo Koch, PA-C
• Debra Kosko, NP
• Rostan Kouokam Sipowa
• Madelaine Kramer

• Physician Assistant in Dunn, NC
• Providers in Dunn, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.