Individual provider Active NPI

Michael A. Asbury, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1942483425
Registry record updated Oct 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02024 Issued in NC
Practice address
2630 E Seventh St
Suite 200
Charlotte, NC 28204-4318
Phone
(704) 364-6100
Fax
(704) 364-4245
NPI assigned
Dec 7, 2007
Last updated
Oct 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02024 NC Primary
Physician Assistant 363A00000X PA973 SC

Addresses

Primary practice location

2630 E Seventh St
Suite 200
Charlotte, NC 28204-4318

Mailing address

2630 E Seventh St
Suite 200
Charlotte, NC 28204-4318
Phone (704) 364-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091119000296 NC Practitioner - Physician Assistant 8527106194 Reassigns benefits to 2 organizations
I20161018001331 SC Practitioner - Physician Assistant 8527106194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

8208 Devon CT
Suite B
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
973SCMDAthletic Trainer
0010-02024NCMDPhysician Assistant
PA973SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Dermatology PA CurrentSince Oct 14, 2009 Accepting new patients

Locations

2630 E 7th St
Ste 200
Charlotte, NC 28204
Phone (704) 927-6166

Interoperability endpoints

  • Direct secure messaging: masbury@metrolinadermatology.emadirect.md

Organizations & group practices 2

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255737600000",
    "number": "1942483425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E SEVENTH ST",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044318",
            "telephone_number": "704-364-6100",
            "fax_number": "704-364-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E SEVENTH ST",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044318",
            "telephone_number": "704-364-6100",
            "fax_number": "704-364-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASBURY",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02024",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.