Individual provider Active NPI

Michael Wayne Pass, MD

  • Family Medicine Physician
  • Waynesville, NC
National Provider Identifier
1497843486
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26038 Issued in NC
Practice address
1272 East Street
Waynesville, NC 28786-3437
Phone
(828) 456-3511
Fax
(828) 456-3583
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26038 NC Primary

Addresses

Primary practice location

1272 East Street
Waynesville, NC 28786-3437

Mailing address

1272 East Street
Waynesville, NC 28786-3437
Phone (828) 456-3511

Other identifiers 2

IdentifierTypeStateIssuer
65796OtherNCBCBS
8965796MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000046 NC Practitioner - Family Practice 3971498718 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26038NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Haywood Regional Medical Center LLC CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
Waynesville Family Practice Center PA Family Medicine Current Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Haywood Regional Medical Center Current Accepting new patients

Locations

560 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8292

127 Sunset Ridge Rd
Clyde, NC 28721
Phone (828) 452-5039

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

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

1272 East St
Waynesville, NC 28786
Phone (828) 456-3511

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1497843486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 EAST STREET",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863437",
            "telephone_number": "828-456-3511",
            "fax_number": "828-456-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 EAST STREET",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863437",
            "telephone_number": "828-456-3511",
            "fax_number": "828-456-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65796",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.