Healthcare Provider Details

I. General information

NPI: 1295498897
Provider Name (Legal Business Name): BAYLEY MCMICHAEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N ELAM AVE
GREENSBORO NC
27403-1127
US

IV. Provider business mailing address

2580 BETHEL CHURCH RD
KERNERSVILLE NC
27284-9737
US

V. Phone/Fax

Practice location:
  • Phone: 336-547-1745
  • Fax:
Mailing address:
  • Phone: 336-202-5579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-11875
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: