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ADAM DEAN MICKEY PA
NPI 1073917209
Physician Assistant in Monroe, NC

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
2242 W ROOSEVELT BLVD STE A, MONROE, NC 28110(704) 220-1904 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Oct 30, 2019, Oct 25, 2019 (3 updates tracked since 2019).

About Adam Dean Mickey Pa NPPES

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

ADAM DEAN MICKEY PA (NPI 1073917209) is an individual physician assistant in Monroe, North Carolina, licensed in North Carolina (0010-07049) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073917209
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM DEAN MICKEYCredential: PA
Location Address2242 W ROOSEVELT BLVD STE AMonroe, NC 28110
Mailing Address2242 W Roosevelt Blvd Ste AMonroe, NC 28110-3071 · (704) 220-1904 · Fax (704) 776-9495
Phone(704) 220-1904
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 17, 2014
Last NPPES UpdateJune 10, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1073917209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-07049
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-07049 (NC)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9108348 (FL)
2242 W ROOSEVELT BLVD STE A, Monroe, NC 28110
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1580 W 8th St, Tower I, 8th floorJacksonville, FL 32209-6533 · Phone (904) 383-1022 · Fax (904) 244-9439
Location 22242 W Roosevelt Blvd Ste AMonroe, NC 28110 · Phone (704) 220-1904
Location 33250 Wilkinson BlvdCharlotte, NC 28208-5665 · Phone (704) 319-5176 · Fax (704) 395-6629

Other Identifiers 2

Medicaid003156207AGA
Medicaid013627200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Dean Mickey Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517189939
PECOS Enrollment IDI20180220000827
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URGENT CARES OF AMERICA NORTH CAROLINA INC
General Practice
2242 W ROOSEVELT BLVD STE A
MONROE, NC 28110
Union County (704) 220-1904

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 Adam Mickey's NPI number?

The NPI number for Adam Mickey is 1073917209. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Adam Mickey located?

Adam Mickey practices at 2242 W Roosevelt Blvd Ste A, Monroe, NC 28110. The listed phone number is (704) 220-1904.

What is Adam Mickey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Mickey enrolled in Medicare?

Yes. Adam Mickey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Mickey accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Adam Mickey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Mickey was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.