Individual provider Active NPI

Michael Daniel Murphy, PA-C

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1649257601
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00062 Issued in NC
Practice address
13815 Professional Center Dr Ste 100
Huntersville, NC 28078-7951
Phone
(704) 384-1320
Fax
(704) 316-3138
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 0010-00062 NC Primary

Addresses

Primary practice location

13815 Professional Center Dr Ste 100
Huntersville, NC 28078-7951

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

10816 Black Dog Ln Ste 160
Charlotte, NC 28214-1479
Phone (704) 316-3970

Other practice location 2

1022 Shelton Ave
Statesville, NC 28677-6826
Phone (704) 838-1234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmurphy321010@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
I20050623001034 NC Practitioner - Physician Assistant 5799720306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, 220 clinicians

Practice addresses (Care Compare)

13815 Professional Ctr Dr
Suite 100
Huntersville, NC 28078-7951
Phone (704) 384-1320

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00062NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Apr 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 15, 2022 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Aug 9, 2010 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Aug 9, 2010 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 1, 2016 Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

845 Church St N
Ste 203
Concord, NC 28025
Phone (704) 316-5027

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

1401 Matthews Township Pkwy
Ste 320
Matthews, NC 28105
Phone (704) 316-9064

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1022 Shelton Ave
Statesville, NC 28677
Phone (704) 768-2080

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1649257601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13815 PROFESSIONAL CENTER DR STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787951",
            "telephone_number": "704-384-1320",
            "fax_number": "704-316-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10816 Black Dog Ln Ste 160",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282141479",
            "country_code": "US",
            "telephone_number": "704-316-3970",
            "fax_number": "704-316-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 Shelton Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286776826",
            "country_code": "US",
            "telephone_number": "704-838-1234",
            "fax_number": "704-768-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmurphy321010@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1022 Shelton Ave",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286776826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.