Individual provider Active NPI

Michael J Duffy, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1346283272
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2652 Issued in NC
Practice address
4805 Park Rd
Suite 225
Charlotte, NC 28209
Phone
(704) 527-7246
Fax
(704) 527-3080
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2652 NC Primary

Addresses

Primary practice location

4805 Park Rd
Suite 225
Charlotte, NC 28209

Mailing address

4805 Park Rd
Suite 225
Charlotte, NC 28209
Phone (704) 527-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221002833 NC Practitioner - Chiropractic 7214238039 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2652NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients
Carolina Sports Chiropractic PLLC Chiropractor CurrentSince Oct 28, 2015 Accepting new patients
Performance Rehab Associates, P.C. Chiropractor CurrentSince Apr 1, 2025 Accepting new patients
Celanese Chiropractic Health & Performance LLC Chiropractor PastSince Mar 14, 2011 Accepting new patients
Scott David Greenapple Chiropractor PastSince Jun 3, 2010 Accepting new patients
De Health Partners PC Chiropractor Past Accepting new patients

Locations

8912 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 544-5353

3000 Latrobe Dr
Ste A
Charlotte, NC 28211
Phone (980) 819-8020

5950 Fairview Rd
Ste 218
Charlotte, NC 28210
Phone (704) 544-5353

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1346283272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 PARK RD",
            "address_2": "SUITE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-527-7246",
            "fax_number": "704-527-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 PARK RD",
            "address_2": "SUITE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-527-7246",
            "fax_number": "704-527-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.