Mitchell Meyer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9700334 Issued in NC

Practice address

6132 Carolina Beach Rd
Suite 8
Wilmington, NC 28412-2788

Phone

(910) 749-4749

Fax

(910) 794-4943

NPI assigned

Aug 31, 2006

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Masonboro Urgent Care, PCGroup PAC ID 9638206287, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10154/brand/1/csg/1/fhir/r4
• Direct secure messaging: mitchell.meyer.1@10154.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Masonboro Urgent Care, PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1427389865
  Medicare reassignment Care Compare group NPD
• Beach Care PC

  • Urgent Care Clinic/Center
  • Wilmington, NC
  • NPI 1750735189
  Authorized official Same address or phone
• Regional Health Diagnostics Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Jacksonville, NC
  • NPI 1154656411
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1669584207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 8",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-749-4749",
            "fax_number": "910-794-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 8",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-749-4749",
            "fax_number": "910-794-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891029L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Kristina Meyer, LCMHC, LCAS, CCS
• Jessica Paige Meyer, LCSW
• Julia Irene Meyer, LCSWA
• Kathleen Lauren Meyer, P.A.-C
• Kim Meyer, PA-C
• Samuel Grant Meyers II, P.A.-C
• Sophie Meyers
• Martin Benjamin Meyerson, M.D.
• Natalie Meyle, LCSWA
• MFBT Solutions

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.

Verify at the official NPI Registry.