Michael Fitch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2021-00024 Issued in NC

Practice address

104 E 7TH Ave
Chadbourn, NC 28431-1402

Phone

(910) 654-3143

Fax

(910) 654-4144

NPI assigned

Jul 20, 2006

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Brody School of Medicine at East Carolina University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galatians FoundationGroup PAC ID 8820486970, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIFJDD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Chadbourn Family Practice Center PA

  • Rural Health Clinic/Center
  • Chadbourn, NC
  • NPI 1780643999

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Galatians Foundation

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1861160038

  Family Medicine, NC

  Medicare reassignment Care Compare group NPD
• Chadbourn Family Practice Center PA

  • Rural Health Clinic/Center
  • Chadbourn, NC
  • NPI 1780643999

  Family Medicine, NC

  Medicare reassignment NPD
• Epic Health, PLLC

  • Primary Care Clinic/Center
  • Wilson, NC
  • NPI 1871355826

  Family Medicine

  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1366462889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GREAT WHITE BLVD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27527",
            "telephone_number": "907-347-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 7TH AVE",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284311402",
            "telephone_number": "910-654-3143",
            "fax_number": "910-654-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4551 New Bern Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101552",
            "country_code": "US",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITCH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-00024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Cribb, MD
• Early Foundations Consulting, LLC
• Paul Dwayne Eissens, RPH
• Evergreen Behavioral Management, Inc.
• Evergreen Behavioral Management, Inc.
• Foundation of Hope, Inc.
• Geeson, Rooks and Associates, DDS, PA
• Goshen Medical Center Incorporated
• Heartland Home Care Agency Inc.
• Heartland Home Care Agency Inc.

• All providers in Chadbourn, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.