Michael Simpson Diamond
Individual provider Active NPI Internal Medicine Physician · Mayodan, NC
NPI 1710144290 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1710144290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2012-02039 (NC)
- Practice address
- 6701B NC Highway 135
Mayodan, NC 27027-8487 - Phone
- (336) 635-8616
- Fax
- (336) 635-6868
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130614000626 | NC | Practitioner - Hospitalist |
9234378639 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-02039 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services of North Carolina, PC | Current |
Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700
Interoperability endpoints
- mdiamond345672@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2012-02039 | NC | |
| Internal Medicine Physician | 207R00000X | 2012-02039 | NC | Yes |
Addresses
Primary practice location
6701B NC Highway 135
Mayodan, NC 27027-8487
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdiamond345672@direct.UNC.nchie.net | Direct |
Other providers in Mayodan, NC
- Cynthia P. Butler
- Nancy Wise Cameron
- Community Christian
- Sandra M Ells
- Everside Health Milliken Two Rivers
- Nurica Nicole Good
- Sachin K Gupta
- Kalei Handy
All providers in Mayodan, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.