Active NPI
Chad Joseph Michel, PA-C
- Physician Assistant
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00975
- Practice address
- 130 Plantation Ridge Dr Ste 100
Mooresville, NC 28117-9239 - Phone
- (704) 324-3986
- Fax
- (704) 324-3990
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00975 | NC | Primary |
Addresses
Primary practice location
130 Plantation Ridge Dr Ste 100
Mooresville, NC 28117-9239
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other practice location 1
124 Welton Way
Mooresville, NC 28117-9163
Phone (704) 658-1050
Other practice location 2
16525 Holly Crest Ln Ste 150
Huntersville, NC 28078-4911
Phone (704) 384-1725
Other practice location 3
335 N Caswell Rd
Charlotte, NC 28204-2470
Phone (704) 384-7980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmichel100420@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000
Hospital & facility affiliations
- Duke Health Lake Norman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00975 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina, PA | Physician Assistant | Current | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Past | Accepting new patients |
Interoperability endpoints
- cmichel100420@direct.novanthealth.org
- cmichel663839@direct.medicine.duke.edu
Organizations & group practices 4
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Emergency Medicine Physician
- Mooresville, NC
- NPI 1053690560
-
- Physician Assistant
- Jefferson, NC
- NPI 1619217551
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1497955074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601843",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PLANTATION RIDGE DR STE 100",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179239",
"telephone_number": "704-324-3986",
"fax_number": "704-324-3990"
}
],
"practiceLocations": [
{
"address_1": "124 Welton Way",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281179163",
"country_code": "US",
"telephone_number": "704-658-1050",
"fax_number": "704-658-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16525 Holly Crest Ln Ste 150",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280784911",
"country_code": "US",
"telephone_number": "704-384-1725",
"fax_number": "704-384-1726",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 N Caswell Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042470",
"country_code": "US",
"telephone_number": "704-384-7980",
"fax_number": "704-384-7985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHEL",
"first_name": "CHAD",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00975",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmichel100420@direct.novanthealth.org",
"affiliation": "N",
"address_1": "130 Plantation Ridge Dr Ste 100",
"city": "Mooresville",
"state": "NC",
"country_code": "US",
"postal_code": "281179239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.