Active NPI
Micah Debenedetto
- Internal Medicine Physician
- Arden, NC
National Provider Identifier
1508506403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL87560
- Practice address
- 15 Skyland Inn Dr
Arden, NC 28704-7714 - Phone
- (828) 654-5001
- Fax
- (828) 654-5004
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL87560 | SC | Primary |
Addresses
Primary practice location
15 Skyland Inn Dr
Arden, NC 28704-7714
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 654-5001
Other practice location 1
2 Medical Park Rd
Columbia, SC 29203-6808
Phone (803) 545-5321
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251001004579 | NC | Practitioner - Internal Medicine | 0042692741 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fletcher Hospital Inc
Practice addresses (Care Compare)
15 Skyland Inn Dr
Arden, NC 28704-7714
Phone (828) 654-5001
Hospital & facility affiliations
- Adventhealth Hendersonville
- Pardee Hospital Henderson County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL87560 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Internal Medicine | Past | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Internal Medicine | Past | Accepting new patients |
Locations
15 Skyland Inn Dr
Arden, NC 28704
Phone (828) 654-5001
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Critical Access Hospital
- Columbus, NC
- NPI 1275361701
-
- Rural Health Clinic/Center
- Columbus, NC
- NPI 1396573804
-
- Critical Access Hospital
- Columbus, NC
- NPI 1891523718
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1477995124
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Internal Medicine
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1508506403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-654-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SKYLAND INN DR",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047714",
"telephone_number": "828-654-5001",
"fax_number": "828-654-5004"
}
],
"practiceLocations": [
{
"address_1": "2 Medical Park Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036808",
"country_code": "US",
"telephone_number": "803-545-5321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBENEDETTO",
"first_name": "MICAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL87560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.