Individual provider Active NPI

Michelle Renee Muhammad, APRN

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1538771795
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014091 Issued in NC
Practice address
4901 Dawn Dr Ste 3300
Lumberton, NC 28360-8288
Phone
(910) 671-9298
Fax
(910) 671-4850
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014091 NC Primary
Adult Medicine Physician 207QA0505X MUHA-WX014 NC

Addresses

Primary practice location

4901 Dawn Dr Ste 3300
Lumberton, NC 28360-8288

Mailing address

442 Tartan CT
Fayetteville, NC 28311-1694
Phone (910) 257-7618

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address licon671009@direct.UNC.nchie.net Direct

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
I20210805003037 NC Practitioner - Nurse Practitioner 7214331750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

4901 Dawn Dr
Suite 3300
Lumberton, NC 28360-8288
Phone (910) 671-5410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MUHA-WX014NCMDAdult Medicine Physician
5014091NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 14, 2021 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jul 14, 2021 Accepting new patients
Unc Physicians Network LLC CurrentSince Jun 1, 2022 Accepting new patients
Unc Physicians Network LLC CurrentSince Jun 1, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Gibbons Family Medicine Adult Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

4901 Dawn Dr
Ste 3300
Lumberton, NC 28360
Phone (910) 671-5410

4901 Dawn Dr
Ste 2400
Lumberton, NC 28360
Phone (910) 671-9298

4901 Dawn Dr
Ste 3400
Lumberton, NC 28360
Phone (910) 671-9298

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: licon671009@direct.unc.nchie.net

Organizations & group practices 7

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1538771795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 TARTAN CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111694",
            "telephone_number": "910-257-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DAWN DR STE 3300",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608288",
            "telephone_number": "910-671-9298",
            "fax_number": "910-671-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014091",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "MUHA-WX014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "licon671009@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4901 Dawn Dr Ste 3300",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283608288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.