Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Andrew Tillery, PA-C

Individual provider Medical Physician Assistant · NPI 1558725580

Mr. Michael Andrew Tillery, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2016, 10 years ago. Practices with The Moses H Cone Memorial Hospital Operating Corporation, a 724-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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

1126 N Church St Ste 300
Greensboro, NC 27401-1037
Phone: (336) 938-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N Elm St, Greensboro, NC 27401-1004 — (336) 862-9292

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-06349 (NC)

Record details

NPI number1558725580
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Moses H Cone Memorial Hospital Operating Corporation — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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