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

Michael Edward Wiegert, PA-C

Individual provider Medical Physician Assistant · NPI 1104822592

Michael Edward Wiegert, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2000, 26 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
26
Licensed in
GA, NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 New Bern Ave Ste 2035
Raleigh, NC 27610-1231
Phone: (919) 231-6132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10010 Falls Of Neuse Rd, Raleigh, NC 27614-8494 — (919) 847-3164

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05316 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003590 (GA)

Record details

NPI number1104822592
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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