Individual provider Active NPI

Michelle Tsun Lam Yeung, PA-C

  • Physician Assistant
  • Holly Springs, NC
National Provider Identifier
1902424377
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001012525 Issued in NC
Practice address
401 Irving Pkwy
Holly Springs, NC 27540-5300
Phone
(919) 385-6700
Fax
(919) 385-6749
NPI assigned
Jul 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001012525 NC Primary

Addresses

Primary practice location

401 Irving Pkwy
Holly Springs, NC 27540-5300

Mailing address

401 Irving Pkwy Ste 210
Holly Springs, NC 27540-5301
Phone (919) 385-6700

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
I20221006003131 NC Practitioner - Physician Assistant 5698180743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

11635 Northpark Dr
Wake Forest, NC 27587-6526
Phone (919) 570-6060

721 Tilghman Dr
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001012525NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 10, 2022 Accepting new patients

Locations

401 Irving Pkwy
Ste 210
Holly Springs, NC 27540
Phone (919) 385-6700

401 Irving Pkwy
Holly Springs, NC 27540
Phone (919) 385-3800

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: myeung527548@direct.medicine.duke.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1902424377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 IRVING PKWY STE 210",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405301",
            "telephone_number": "919-385-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 IRVING PKWY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405300",
            "telephone_number": "919-385-6700",
            "fax_number": "919-385-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "MICHELLE",
        "middle_name": "TSUN LAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001012525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.