Active NPI
Michael James Shealy, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2011-01411
- 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Spartanburg, SC
- NPI 1730324583
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital
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
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
- Atrium Health Pineville
- Atrium Health Union
- Atrium Health Lincoln
- Atrium Health Cleveland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Anatomic Pathology & Clinical Pathology | Past | 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
- mshealy500147@carolinashealthcaresystem.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2011-01411 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011-01411 | Other | NC | STATE MEDICAL BOARD |
| 27907 | Other | SC | STATE 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.