Individual provider Active NPI

Ashley L Michaels, PA

  • Physician Assistant
  • Jamestown, NC
National Provider Identifier
1902039654
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01966 Issued in NC
Practice address
1236 Guilford College Rd
Suite 117
Jamestown, NC 27282-9810
Phone
(336) 856-0801
Fax
(336) 856-2804
NPI assigned
Aug 28, 2009
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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 0010-01966 NC Primary
Medical Physician Assistant 363AM0700X 0010-01966 NC

Addresses

Primary practice location

1236 Guilford College Rd
Suite 117
Jamestown, NC 27282-9810

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 856-0801

Other identifiers 1

IdentifierTypeStateIssuer
8101772MedicaidNC

Other names 1

  • Ashley B Long Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amichaels36642@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000455 NC Practitioner - Physician Assistant 5092853937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newhope Medical Group PAGroup PAC ID 3173965845, 4 clinicians

Practice addresses (Care Compare)

8422 US Hwy 158
Stokesdale, NC 27357-9247
Phone (336) 443-9316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-01966NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hematology-Oncology Associates, PLLC Medical Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1902039654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-856-0801",
            "fax_number": "336-856-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 GUILFORD COLLEGE RD",
            "address_2": "SUITE 117",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829810",
            "telephone_number": "336-856-0801",
            "fax_number": "336-856-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01966",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101772",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amichaels36642@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1236 Guilford College Rd",
            "address_2": "Suite 117",
            "city": "Jamestown",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272829810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LONG",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NC

Sources for this page

Verify at the official NPI Registry.