Individual provider Active NPI

Michael Allen Moziak, PA-C

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1336592872
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08781 Issued in NC
Practice address
800 N Justice St
Hendersonville, NC 28791-3410
Phone
(828) 694-4548
NPI assigned
Jul 20, 2016
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020147-1 NY
Physician Assistant 363A00000X 0010-08781 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

800 N Justice St
Hendersonville, NC 28791-3410

Mailing address

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 694-4548

Other practice location 1

108 Milford Ct
Syracuse, NY 13206-2305
Phone (315) 766-7826

Other practice location 2

90 Haywood Office Park
Waynesville, NC 28785
Phone (828) 483-4438

Other identifiers 1

IdentifierTypeStateIssuer
NN6725BOtherNCMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoziak585417@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
I20190509001747 NC Practitioner - Physician Assistant 7315226370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

262 Leroy George Dr
Clyde, NC 28721-7430

310 Overlook Rd
Suite B
Asheville, NC 28803-3319
Phone (828) 708-9876

90 Haywood Office Park
Waynesville, NC 28785-6998
Phone (828) 246-0775

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020147NYMDPsychologist
020147-1NYMDOccupational Therapist
0010-08781NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2020 Accepting new patients
Pardee Neurology Associates CurrentSince Dec 1, 2020 Accepting new patients
Comprehensive Pain Consultants of the Carolinas PLLC CurrentSince Jan 20, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC Physician Assistant CurrentSince Apr 1, 2019 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Apr 1, 2019 Accepting new patients
Mountain Medical Services Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

310 Overlook Rd
#B
Asheville, NC 28803
Phone (828) 483-4438

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

15 Brettwood Trce
Clyde, NC 28721
Phone (828) 452-3992

262 Leroy George Dr
Fl 1
Clyde, NC 28721
Phone (828) 452-8999

600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331

57 Howard Gap Rd
Fletcher, NC 28732
Phone (828) 483-4330

144 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-5057

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

81 Medical Park Loop
Ste 202
Sylva, NC 28779
Phone (828) 586-5865

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: michael.moziak.1@9865.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1336592872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-694-4548",
            "fax_number": "828-694-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-694-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Milford Ct",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132062305",
            "country_code": "US",
            "telephone_number": "315-766-7826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Haywood Office Park",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "28785",
            "country_code": "US",
            "telephone_number": "828-483-4438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZIAK",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020147-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08781",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NN6725B",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoziak585417@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "800 N Justice St",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287913410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.