Individual provider Active NPI

Michelle Esther Billups, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1881009058
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05078 Issued in NC
Practice address
8450 Park Rd
Charlotte, NC 28210-5801
Phone
(980) 308-0143
Fax
(980) 308-0142
NPI assigned
Jun 26, 2014
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 0010-05078 NC Primary

Addresses

Primary practice location

8450 Park Rd
Charlotte, NC 28210-5801

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (704) 384-1734

Other practice location 2

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (704) 384-1734

Other practice location 3

150 Fairview Rd Ste 230
Mooresville, NC 28117
Phone (423) 343-7018

Other names 1

  • Michelle Cunill Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcunill251392@direct.novanthealth.org Carolina Medicorp Enterprises, Inc.

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103001855 NC Practitioner - Physician Assistant 7810119021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

114 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

116 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141

8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-05078NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 1, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 6, 2015 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 1, 2015 Accepting new patients
Carolina Medicorp Enterprises Inc Physician Assistant Past Accepting new patients
Carolina Medicorp Enterprises, LLC Past Accepting new patients

Locations (25 of 27)

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

4815 Berewick Town Center Dr
Ste Cd
Charlotte, NC 28278
Phone (980) 337-4652

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
Matthews, NC 28105
Phone (704) 316-4846

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

11300 Cresthill Dr
Ste 120
Mint Hill, NC 28227
Phone (704) 438-9479

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1881009058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105801",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043041",
            "country_code": "US",
            "telephone_number": "704-384-1734",
            "fax_number": "704-384-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043041",
            "country_code": "US",
            "telephone_number": "704-384-1734",
            "fax_number": "704-384-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Fairview Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "28117",
            "country_code": "US",
            "telephone_number": "423-343-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "MICHELLE",
        "middle_name": "ESTHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcunill251392@direct.novanthealth.org",
            "affiliation": "Y",
            "affiliationName": "Carolina Medicorp Enterprises, Inc.",
            "address_1": "8450 Park Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282105801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CUNILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.