MEDICARE: DR. MICHELE ROBERTS CASEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	9601262	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9601262	OTHER	NC	STATE LICENSE

General Provider Information

NPI Number	:	1053387217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE ROBERTS CASEY MD

Provider Business Mailing Address
First Line	:	13300 SRICKLAND ROAD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613
Country	:	US
Telephone Number	:	919-385-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	13300 STRICKLAND RD STE 103
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-5220
Country	:	US
Telephone Number	:	919-385-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	06/16/2026

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