Active NPI
Michael Simpson Diamond
- Internal Medicine Physician
- Mayodan, NC
National Provider Identifier
1710144290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2012-02039
- Practice address
- 6701B NC Highway 135
Mayodan, NC 27027-8487 - Phone
- (336) 635-8616
- Fax
- (336) 635-6868
- NPI assigned
- May 21, 2008
- Last updated
- May 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2012-02039 | NC | |
| Internal Medicine Physician | 207R00000X | 2012-02039 | NC | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdiamond345672@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Durham, NC
- NPI 1992464002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1710144290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701B NC HIGHWAY 135",
"city": "MAYODAN",
"state": "NC",
"postal_code": "270278487",
"telephone_number": "336-635-8616",
"fax_number": "336-635-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "MICHAEL",
"middle_name": "SIMPSON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2012-02039",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2012-02039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdiamond345672@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "6701B Nc Highway 135",
"city": "Mayodan",
"state": "NC",
"country_code": "US",
"postal_code": "270278487",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mayodan, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.