Individual provider Active NPI

Michael Milton Beers, PA-C

  • Physician Assistant
  • Salisbury, NC
National Provider Identifier
1346731155
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08126 Issued in NC
Practice address
401 Mocksville Ave FL 2
Salisbury, NC 28144-2735
Phone
(704) 633-9620
Fax
(704) 633-9620
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08126 NC Primary

Addresses

Primary practice location

401 Mocksville Ave FL 2
Salisbury, NC 28144-2735

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 738-5843

Other practice location 1

400 Mocksville Ave
Salisbury, NC 28144
Phone (704) 633-6044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbeers550966@direct.novanthealth.org

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
I20190507000278 NC Practitioner - Physician Assistant 1153550058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

401 Mocksville Ave
FL 2
Salisbury, NC 28144-2735
Phone (704) 633-9620

5145 Sellers Rd
Shallotte, NC 28470-3405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08126NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Aug 4, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 4, 2019 Accepting new patients
Novant Medical Group, Inc. CurrentSince Jul 12, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 12, 2018 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 4, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972

401 Mocksville Ave
Fl 2
Salisbury, NC 28144
Phone (704) 633-9620

400 Mocksville Ave
Salisbury, NC 28144
Phone (704) 633-6044

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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.

Hospital & facility affiliations 1

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1346731155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-738-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOCKSVILLE AVE FL 2",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442735",
            "telephone_number": "704-633-9620",
            "fax_number": "704-633-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "28144",
            "country_code": "US",
            "telephone_number": "704-633-6044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERS",
        "first_name": "MICHAEL",
        "middle_name": "MILTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbeers550966@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "400 Mocksville Ave",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.