Michael John Winn, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-00472 Issued in NC

Practice address

5511 Raeford Road
Suite 150
Fayetteville, NC 28304-2058

Phone

(910) 630-5000

Fax

(910) 424-6767

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1902829039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD ROAD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042058",
            "telephone_number": "910-630-5000",
            "fax_number": "910-424-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "0010-00472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NE Win, MB BS
• Julie Bain Windham, CFO,CFTS
• Makayla Windham
• Samantha Wingo, WHNP
• Christine Winiecki
• Denotra Johnson Winston, LCMHC, LCASA
• Brianna Wint
• Falisha Salina Winters, FNP-C
• Maryselle Winters, DO
• Wise Choice Tender Loving Casre

• Medical Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.