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

Michele T Provost, PA

Individual provider Physician Assistant · NPI 1043388754

Michele T Provost, PA is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2006, 20 years ago. Practices with Carolina Rheumatology and Internal Medicine PA, a 4-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2006
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

2125 Valleygate Dr Ste 201
Fayetteville, NC 28304-3754
Phone: (910) 920-1450
Fax: (910) 920-1450
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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 0010-02284 (NC)

Record details

NPI number1043388754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Carolina Rheumatology And Internal Medicine Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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