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

Robert Michael Wilson, PAC

Individual provider Physician Assistant · NPI 1740228329

Robert Michael Wilson, PAC is a Physician Assistant in Salem, Virginia. Qualified in 2000, 26 years ago. Practices with Lewis Gale Physicians LLC, a 194-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
26
Licensed in
VA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

101 Knotbreak Rd
Salem, VA 24153-5404
Phone: (540) 444-4020
Fax: (540) 444-4021
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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 0110001209 (VA)

Record details

NPI number1740228329
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESJanuary 26, 2022
Mailing addressPo Box 8310, Roanoke, VA 24014-0310

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Lewis Gale Physicians Llc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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