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

Michael B Degrandpre, PA

Individual provider Physician Assistant · NPI 1366486060

Michael B Degrandpre, PA is a Physician Assistant in Mechanicsville, Virginia. Qualified in 1997, 29 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
29
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone: (804) 764-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 S Croatan Hwy, Nags Head, NC 27959-9704 — (252) 449-4500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001114 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-15582 (NC)

Record details

NPI number1366486060
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing addressPo Box 3648, Williamsburg, VA 23187-3648

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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