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MID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES, PLLC
NPI 1073562757
Emergency Medicine in Charlotte, NC

Active since May 09, 2006
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211(704) 377-2424(704) 377-2687 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid-atlantic Emergency Medical Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES, PLLC (NPI 1073562757) is a healthcare organization registered as an emergency medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization lists Michael Wayne Icenhour, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1073562757
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES, PLLC
Location Address501 S SHARON AMITY RD STE 300Charlotte, NC 28211
Mailing Address501 S Sharon Amity Rd Ste 300Charlotte, NC 28211-0035 · (704) 377-2424 · Fax (704) 377-2687
Phone(704) 377-2424
Fax(704) 377-2687
Organization SubpartNo
Authorized OfficialMichael Wayne IcenhourChief Operating Officer · (704) 319-5822
Enumeration DateMay 9, 2006
Last NPPES UpdateJuly 3, 2018
✔ NPI 1073562757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
501 S SHARON AMITY RD STE 300, Charlotte, NC 28211
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Other Identifiers 11

MedicaidQPA373SC
Medicaid89-0294WNC
Medicaid89-0295HNC
Other0294WNC · Bcbsnc
Medicaid89-0295GNC
Medicaid89-01401NC
MedicaidNPA822SC
OtherCI1307NC · Rr Medicare
MedicaidNPA807SC
MedicaidQPA372SC
Medicaid89-016RMNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-atlantic Emergency Medical Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to Mid-Atlantic Emergency Medical Associates, PLLC, which bills Medicare for the services they deliver. Of these, 72 practice at this address and 83 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine87
Nurse Practitioner7
Pediatric Medicine5
Family Practice1
General Practice1

Nearest to this location (20)

See all 101
Joshua Loyd, M.D.
Emergency Medicine
NPI 1477972149
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Mark Zeller, M.D.
Emergency Medicine
NPI 1336533868
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Stephanie Zeller, M.D.
Emergency Medicine
NPI 1083008650
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Melanie Artho
Emergency Medicine
NPI 1154580389
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Douglas Boertje, MD
Emergency Medicine
NPI 1558361246
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Thomas Brant, M.D.
Emergency Medicine
NPI 1194774653
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Michelle Capizzi, M.D.
Pediatric Medicine
NPI 1508815457
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Sean Copeland, MD
Emergency Medicine
NPI 1801582929
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Edwin Corral, MD
Emergency Medicine
NPI 1235635970
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Robin Dong, D.O.
Emergency Medicine
NPI 1790135762
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Andrea Dupont, M.D.
Emergency Medicine
NPI 1740231497
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Alyssa Mocilan, FNP-C
Nurse Practitioner
NPI 1306550926
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Sara Steelman, M.D.
Pediatric Medicine
NPI 1992759591
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Logan Watts, FNP-C
Nurse Practitioner
NPI 1144186131
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Emily Bellow, FNP-C
Nurse Practitioner
NPI 1205437910
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Cody Carpenter, MD
Pediatric Medicine
NPI 1043367915
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Whitney Lloyd, FNP-C
Nurse Practitioner
NPI 1952875478
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Mcinnis, FNP
Nurse Practitioner
NPI 1417995689
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Kathleen Richard, M.D.
Pediatric Medicine
NPI 1881951325
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOSSame address
Lisa Thomas, FNP
Nurse Practitioner
NPI 1346675907
501 S SHARON AMITY RD STE 300
Charlotte, NC 28211
(704) 377-2424
✔ PECOS✔ Accepts MedicareSame address
See all 101 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Atlantic Emergency Medical Associates, PLLC's NPI number?

The NPI number for Mid-Atlantic Emergency Medical Associates, PLLC is 1073562757. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Mid-Atlantic Emergency Medical Associates, PLLC located?

Mid-Atlantic Emergency Medical Associates, PLLC is located at 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211. The listed phone number is (704) 377-2424.

What is Mid-Atlantic Emergency Medical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mid-Atlantic Emergency Medical Associates, PLLC enrolled in Medicare?

Yes. Mid-Atlantic Emergency Medical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Atlantic Emergency Medical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 5 Medicare specialties reassign their Medicare billing to Mid-Atlantic Emergency Medical Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (87), Nurse Practitioner (7) and Pediatric Medicine (5). Of these, 72 practice at this address and 83 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid-Atlantic Emergency Medical Associates, PLLC was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.