Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lana Michelle Oliver Haynes, PAC

Individual provider Physician Assistant · NPI 1073627956

Lana Michelle Oliver Haynes, PAC is a Physician Assistant in Wilmington, North Carolina. Qualified in 2003, 23 years ago. Practices with Summit Plastic Surgery and Dermatology, PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019
Phone: (910) 794-5355
Fax: (910) 794-5358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001000360 (NC)

Record details

NPI number1073627956
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Summit Plastic Surgery And Dermatology, Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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