NPIMap

Individual provider Active NPI

Michael Robert Duerkes, PA

  • Physician Assistant
  • Morganton, NC
National Provider Identifier
1750650099
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03215 Issued in NC
Practice address
503 E Parker Rd
Morganton, NC 28655-5104
Phone
(828) 437-6500
Fax
(828) 330-2048
NPI assigned
Dec 15, 2011
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03215 NC Primary

Addresses

Primary practice location

503 E Parker Rd
Morganton, NC 28655-5104

Mailing address

915 Tate Blvd SE Ste 190
Hickory, NC 28602-4042
Phone (828) 294-7793

Other practice location 1

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other practice location 2

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 652-1400

Other practice location 3

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

Other practice location 4

160 River Bend Dr Ste C
Granite Falls, NC 28630-9371
Phone (828) 572-7305

Other practice location 5

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other practice location 6

841 Malcolm Blvd
Rutherford College, NC 28671
Phone (828) 635-8430

Other practice location 7

841 Malcolm Blvd
Rutherford College, NC 28671
Phone (828) 874-3379

Other identifiers 1

IdentifierTypeStateIssuer
1750650099MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000254 NC Practitioner - Physician Assistant 3577720085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

232 Sharon Ave NW
Lenoir, NC 28645-4326
Phone (828) 758-7091

503 E Parker Rd
Morganton, NC 28655-5104
Phone (828) 437-6500

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03215NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Feb 2, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 14, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 14, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Emergeortho PA CurrentSince Feb 2, 2023 Accepting new patients
Emergeortho, P.a. Past Accepting new patients

Locations

160 River Bend Dr
Ste C
Granite Falls, NC 28630
Phone (828) 572-7305

2165 Medical Park Dr
Hickory, NC 28602
Phone (828) 294-7793

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

503 E Parker Rd
Morganton, NC 28655
Phone (828) 437-6500

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

5920 US Highway 70 E
Nebo, NC 28761
Phone (828) 659-9703

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: michael.duerkes.1@847.direct.athenahealth.com
  • Direct secure messaging: michaelduerkesp@direct.msj.org

Organizations & group practices 8

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1750650099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 190",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-294-7793",
            "fax_number": "828-330-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555104",
            "telephone_number": "828-437-6500",
            "fax_number": "828-330-2048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-652-1400",
            "fax_number": "828-659-7829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2165 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028809",
            "country_code": "US",
            "telephone_number": "828-324-2800",
            "fax_number": "828-294-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 River Bend Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Granite Falls",
            "state": "NC",
            "postal_code": "286309371",
            "country_code": "US",
            "telephone_number": "828-572-7305",
            "fax_number": "828-330-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2293 Sugar Hill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527787",
            "country_code": "US",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Rutherford College",
            "state": "NC",
            "postal_code": "28671",
            "country_code": "US",
            "telephone_number": "828-635-8430",
            "fax_number": "828-635-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Malcolm Blvd",
            "address_purpose": "LOCATION",
            "city": "Rutherford College",
            "state": "NC",
            "postal_code": "28671",
            "country_code": "US",
            "telephone_number": "828-874-3379",
            "fax_number": "828-874-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUERKES",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750650099",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.