Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jessica Fowler Michalak, PA-C

Individual provider Surgical Physician Assistant · NPI 1588060412

MS. Jessica Fowler Michalak, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with The Presbyterian Hospital, a 407-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
Specialties on file
3
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

125 Queens Rd Ste 520
Charlotte, NC 28204-3512
Phone: (980) 302-6500
Fax: (980) 302-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 — (980) 302-6300
  • 125 Queens Rd Ste 540, Charlotte, NC 28204-3512 — (980) 302-6560

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05219 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-05219 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 0010-05219 (NC)

Record details

NPI number1588060412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Presbyterian Hospital — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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