Individual provider Active NPI

Michael James Shealy, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Charlotte, NC
National Provider Identifier
1972778488
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2011-01411 Issued in NC
Practice address
2001 Vail Ave
Charlotte, NC 28207-1248
Phone
(704) 973-5500
NPI assigned
Apr 25, 2008
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Pathology Group PA 50 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2251

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6212

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-0611

201 E Grover St
Shelby, NC 28150-3917
Phone (704) 973-5500

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

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: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120308000273 NC Practitioner - Pathology 2163681214 Reassigns benefits to 1 organization
I20250414000188 SC Practitioner - Pathology 2163681214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pathology Group, PA CurrentSince Aug 1, 2014 Accepting new patients
Carolinas Pathology Group, PA Anatomic Pathology & Clinical Pathology PastSince Nov 24, 2024 Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

6135 Lakeview Rd
Ste 350
Charlotte, NC 28269
Phone (704) 549-8444

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

5040 Airport Center Pkwy
Charlotte, NC 28208
Phone (704) 446-4490

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Interoperability endpoints

  • Direct secure messaging: mshealy500147@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2011-01411 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2001 Vail Ave
Charlotte, NC 28207-1248

Mailing address

PO Box 30637
Charlotte, NC 28230-0637
Phone (704) 973-5500

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2011-01411OtherNCSTATE MEDICAL BOARD
27907OtherSCSTATE MEDICAL BOARD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2018.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1972778488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30637",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300637",
            "telephone_number": "704-973-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071248",
            "telephone_number": "704-973-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2011-01411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "2011-01411",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "27907",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.