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

Michael W Rayburn, PA

Individual provider Physician Assistant · NPI 1396923520

Michael W Rayburn, PA is a Physician Assistant in Alpharetta, Georgia. Qualified in 2007, 19 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Old Milton Pkwy # C Ste 425
Alpharetta, GA 30005-3707
Phone: (770) 343-8760
Fax: (770) 664-2101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005193 (GA)

Record details

NPI number1396923520
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2008
Last updated in NPPESDecember 2, 2016
Mailing address3400 Old Milton Pkwy # C, Suite 425, Alpharetta, GA 30005-3707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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