Active NPI
Micahel Witkin, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Mooresville, NC
National Provider Identifier
1699754127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Practice address
- 930 W Wilson Ave
Mooresville, NC 28117-8811 - Phone
- (704) 663-7500
- Fax
- (704) 799-2613
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NC | Primary |
Addresses
Primary practice location
930 W Wilson Ave
Mooresville, NC 28117-8811
Mailing address
930 W Wilson Ave
Mooresville, NC 28117-8811
Phone (704) 663-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902200 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-00690 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Care PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1134184583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699754127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 W WILSON AVE",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178811",
"telephone_number": "704-663-7500",
"fax_number": "704-799-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W WILSON AVE",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178811",
"telephone_number": "704-663-7500",
"fax_number": "704-799-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKIN",
"first_name": "MICAHEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902200",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Jessica Rose Wing, MA, LCMHCA, NCC
- Jodi Winkelvoss, OTR/L
- Amy Majors Winstead, CNM
- With Gods Help, Licensed Clinical Social Work, LLC
- With Gods Help2 Licensed Clinical Social Work, PLLC
- Lisa Wolf, MS, RDN, LDN, CDCES
- Renee Wolf, MSW, LCSW
- Steven Frederick Wolfe, MD
- Ana W Wolff, MA, CCC-SLP
- Madalynn D Wolter, CPO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.