Michael Andrew Robinson, PA-C – Physician Assistant

Key facts

NPI: 1720076730
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 102406 (NC)
Practice address: 824 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone: (704) 874-0200
NPI assigned: Oct 12, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Dallas Family Medicine, PA Family Medicine Physician · Dallas, NC · NPI 1487726352

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
102406	NC	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Dallas Family Medicine, PA		Current since Dec 10, 2004	Accepting new patients

Locations

824 Lower Dallas Hwy
Dallas, NC 28034
Phone (704) 208-4134

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	102406	NC	Yes

Addresses

Primary practice location

824 Lower Dallas Hwy
Dallas, NC 28034-9368

Mailing address

824 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone (704) 874-0200

Other providers in Dallas, NC

All providers in Dallas, NC · Physician Assistant in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.