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

Michelle Beatrice Deshazer, PA

Individual provider Physician Assistant · NPI 1295013795

Michelle Beatrice Deshazer, PA is a Physician Assistant in Winston Salem, North Carolina. Graduated from Saint Louis University School of Medicine in 2013, 13 years ago. Practices with Tlk Dermatology PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in Arkansas and North Carolina.

Years since qualifying
13
Trained at
Saint Louis University School of Medicine
Licensed in
AR, NC
In the registry since
2011
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

1450 Professional Park Dr Ste 150
Winston Salem, NC 27103-1307
Phone: (336) 724-2434
Fax: (336) 607-8061
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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 0010-09944 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA-793 (AR)

Record details

NPI number1295013795
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2011
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Tlk Dermatology Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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