Individual provider Active NPI

Michael Collins Hadley, PA-C

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1417209610
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010461 Issued in VA
Practice address
2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465
Phone
(540) 853-0100
Fax
(540) 342-9308
NPI assigned
Oct 11, 2012
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110010461 VA Primary
Physician Assistant 363A00000X 2274 SC
Physician Assistant 363A00000X C5-0012183 DE
Surgical Physician Assistant 363AS0400X 006576 GA
Surgical Physician Assistant 363AS0400X 2274 SC

Addresses

Primary practice location

2001 Crystal Spring Ave SW Ste 201
Roanoke, VA 24014-2465

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

200 S Herlong Ave Ste B
Rock Hill, SC 29732-1182
Phone (803) 324-1950

Other practice location 2

197 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1824
Phone (803) 324-1950

Other practice location 3

431 Savannah Rd Ste C
Lewes, DE 19958-1460
Phone (302) 644-4282

Other practice location 4

1120 15th St
Augusta, GA 30912
Phone (706) 721-3671

Other practice location 5

1120 15th St
Augusta, GA 30912
Phone (706) 721-3671

Other practice location 6

600 Gresham Dr Ste 8600
Norfolk, VA 23507-1904
Phone (757) 388-6005

Other practice location 7

890 W Faris Rd Ste 550
Greenville, SC 29605-4286
Phone (864) 455-6800

Other practice location 8

2728 Sunset Blvd Ste 105
West Columbia, SC 29169-4839
Phone (803) 936-7095

Other identifiers 1

IdentifierTypeStateIssuer
006576OtherGALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhadley198122@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, MI, MD, DE, VA, OH7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20121211000270 GA Practitioner - Physician Assistant 8325290703 Reassigns benefits to 2 organizations
I20150721001639 SC Practitioner - Physician Assistant 8325290703 Reassigns benefits to 4 organizations
I20240925002793 MI Practitioner - Physician Assistant 8325290703 Reassigns benefits to 1 organization
I20241126001196 MD Practitioner - Physician Assistant 8325290703 Reassigns benefits to 1 organization
I20241214000127 DE Practitioner - Physician Assistant 8325290703 Reassigns benefits to 1 organization
I20250407000801 VA Practitioner - Physician Assistant 8325290703 Reassigns benefits to 2 organizations
I20251003003571 OH Practitioner - Physician Assistant 8325290703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

2728 Sunset Blvd
Suite 105
West Columbia, SC 29169-4839
Phone (803) 936-7045

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

600 Gresham Dr
Norfolk, VA 23507-1904

701 Grove Rd
Greenville, SC 29605-4210

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2274SCMDProfessional Counselor
6576GAMDChiropractor
006576GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2024 Accepting new patients
Lexington Health Inc CurrentSince Jan 21, 2026 Accepting new patients
Au Medical Associates Inc CurrentSince Dec 1, 2018 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 8, 2016 Accepting new patients
Au Medical Center, Inc CurrentSince Oct 1, 2012 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Cardiovascular Interventional Associates LLC CurrentSince Nov 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 8, 2016 Accepting new patients
Lexington Health Inc CurrentSince Jan 21, 2026 Accepting new patients
Carilion Medical Center Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

431 Savannah Rd
#C
Lewes, DE 19958
Phone (302) 644-4282

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Ste 300
Greenville, SC 29601

890 W Faris Rd
Ste 550
Greenville, SC 29605
Phone (864) 455-6800

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 105
West Columbia, SC 29169
Phone (803) 936-7045

600 Gresham Dr
#8600
Norfolk, VA 23507
Phone (757) 388-6005

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19398/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mhadley1039422@direct.sentara.net
  • Direct secure messaging: mhadley198122@direct.lexmed.com
  • Direct secure messaging: mhadley848836@direct.ghs.myhfn.org

Organizations & group practices 27

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 27

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1417209610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142465",
            "telephone_number": "540-853-0100",
            "fax_number": "540-342-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Herlong Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321182",
            "country_code": "US",
            "telephone_number": "803-324-1950",
            "fax_number": "803-324-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Piedmont Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321824",
            "country_code": "US",
            "telephone_number": "803-324-1950",
            "fax_number": "803-324-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Savannah Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581460",
            "country_code": "US",
            "telephone_number": "302-644-4282",
            "fax_number": "302-644-8734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-3671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-3671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr Ste 8600",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-6005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 W Faris Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054286",
            "country_code": "US",
            "telephone_number": "864-455-6800",
            "fax_number": "864-455-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2728 Sunset Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694839",
            "country_code": "US",
            "telephone_number": "803-936-7095",
            "fax_number": "803-936-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "MICHAEL",
        "middle_name": "COLLINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010461",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2274",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012183",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "006576",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "2274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006576",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhadley198122@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 105",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.