Individual provider Active NPI

Michelle Williams Combs, PA-C

  • Medical Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1285763185
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101250 Issued in NC
Practice address
865 W Lake Dr Ste 200
Mount Airy, NC 27030-2135
Phone
(336) 783-6935
NPI assigned
Mar 5, 2007
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 101250 NC
Medical Physician Assistant 363AM0700X 101250 NC Primary

Addresses

Primary practice location

865 W Lake Dr Ste 200
Mount Airy, NC 27030-2135

Mailing address

PO Box 75216
Charlotte, NC 28275-5216
Phone (336) 718-7080

Other practice location 1

1010 Bethesda Ct
Winston Salem, NC 27103-3019
Phone (336) 277-8800

Other identifiers 1

IdentifierTypeStateIssuer
8101761MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcombs154686@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000442 NC Practitioner - Physician Assistant 3971583501 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital Inc CurrentSince Apr 1, 2011 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Apr 1, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 9, 2025 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 1, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 9, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Apr 1, 2022 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 1, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Piedmont Hematology-Oncology Associates, PLLC Medical Past Accepting new patients
Reed City Hospital Corporation PastSince Jan 1, 1990 Accepting new patients
Red City Hospital Corporation PastSince Jan 1, 1990 Accepting new patients
Reed City Hospital Corporation PastSince Jan 1, 1990 Accepting new patients
Reed City Hospital Corporation PastSince Jan 1, 1990 Accepting new patients
Reed City Hospital Corporation PastSince Jan 1, 1990 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

865 Westlake Dr
Ste 200
Mount Airy, NC 27030
Phone (336) 277-0220

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: mcombs154686@direct.novanthealth.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1285763185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282755216",
            "telephone_number": "336-718-7080",
            "fax_number": "336-718-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W LAKE DR STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302135",
            "telephone_number": "336-783-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Bethesda Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033019",
            "country_code": "US",
            "telephone_number": "336-277-8800",
            "fax_number": "336-277-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "MICHELLE",
        "middle_name": "WILLIAMS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101250",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101761",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcombs154686@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1010 Bethesda Ct",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.