Individual provider Active NPI

Samuel Allen Mickel-Hulse

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1699470518
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2026-02385 Issued in NC
Practice address
118 Knox Way
Chapel Hill, NC 27516-6610
Phone
(984) 215-5900
NPI assigned
Mar 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2026-02385 NC Primary
Pediatrics Physician 208000000X 2026-02385 NC

Addresses

Primary practice location

118 Knox Way
Chapel Hill, NC 27516-6610

Mailing address

118 Knox Way
Chapel Hill, NC 27516-6610
Phone (984) 215-5900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615000922 NC Order and Referring Only - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Internal Medicine 2567820087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026-02385NCMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: smickel1037510@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1699470518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KNOX WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166610",
            "telephone_number": "984-215-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 KNOX WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166610",
            "telephone_number": "984-215-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEL-HULSE",
        "first_name": "SAMUEL",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2026-02385",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2026-02385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.