Individual provider Active NPI

Michael J McCarthy, PA-C

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1376923003
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117383 Issued in FL
Practice address
11751 Rock Landing Dr Ste 6
Newport News, VA 23606-4233
Phone
(757) 327-0657
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 PA9117383 FL Primary

Addresses

Primary practice location

11751 Rock Landing Dr Ste 6
Newport News, VA 23606-4233

Mailing address

11751 Rock Landing Dr Ste 6
Newport News, VA 23606-4233
Phone (757) 327-0657

Other practice location 1

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone (509) 332-2828

Other practice location 2

1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566
Phone (904) 346-3465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150817000132 VA Practitioner - Physician Assistant 2264747567 Reassigns benefits to 1 organization
I20230807002445 FL Practitioner - Physician Assistant 2264747567

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11751 Rock Landing Dr
Suite 1
Newport News, VA 23606-4233
Phone (757) 240-2700

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

400 Sentara Cir
Suite 400
Williamsburg, VA 23188-5716
Phone (757) 645-3150

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

5424 Discovery Park Blvd
Williamsburg, VA 23188-2862

704 Thimble Shoals Blvd
300A
Newport News, VA 23606-4554
Phone (757) 595-4300

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

National Provider Directory

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

Organizations & group practices 1

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1376923003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ROCK LANDING DR STE 6",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064233",
            "telephone_number": "757-327-0657",
            "fax_number": "757-240-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ROCK LANDING DR STE 6",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064233",
            "telephone_number": "757-327-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 SE Bishop Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635517",
            "country_code": "US",
            "telephone_number": "509-332-2828",
            "fax_number": "509-334-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 San Marco Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078566",
            "country_code": "US",
            "telephone_number": "904-346-3465",
            "fax_number": "904-396-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.