Individual provider Active NPI

Chad Joseph Michel, PA-C

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1497955074
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00975 Issued in NC
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

Updated by the provider on Aug 19, 2021

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 0010-00975 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000838 NC Practitioner - Physician Assistant 1153416300 Reassigns benefits to 2 organizations

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
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00975NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina, PA Physician Assistant CurrentSince Sep 1, 2014 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmichel100420@direct.novanthealth.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.