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MICHAEL TAYLOR

License Number: PA9120506

Data As Of 11/21/2025

Profession
Physician Assistant
License
PA9120506
License Status
Clear/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
07/27/2025
Address of Record
2414 Autumn Valley Drive
WINSTON SALEM, NC 27103
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
ALDEEN, AMER Z Supervising Prescribing Practitioner Medical Doctor 134734 11/03/2025
ANDERSON, HAL Supervising Prescribing Practitioner Medical Doctor 162015 11/03/2025
ARENDS, DREW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 16069 11/03/2025
ARMATO-BARONE, EUNICE ALEXANDRA Supervising Prescribing Practitioner Medical Doctor 167823 11/03/2025
ASAL, MARY ANN Supervising Prescribing Practitioner Medical Doctor 177803 11/14/2025
ASHER, CHARLES Supervising Prescribing Practitioner Medical Doctor 127859 11/03/2025
ATEZ, FRANCISCO JOSE Supervising Prescribing Practitioner Medical Doctor 109582 11/03/2025
ATLAS, YELENA Supervising Prescribing Practitioner Medical Doctor 149603 11/03/2025
BAKER, MARIE Supervising Prescribing Practitioner Medical Doctor 168548 11/03/2025
BARNES, RICHARD R JR Supervising Prescribing Practitioner Medical Doctor 69285 11/03/2025
BARQUIN, JOSE MIGUEL JR Supervising Prescribing Practitioner Medical Doctor 131689 11/03/2025
BATTISTINI OLIVIERI, VINCENT Supervising Prescribing Practitioner Medical Doctor 168270 11/03/2025
BELTRE, MIGUEL FRANCISCO Supervising Prescribing Practitioner Medical Doctor 61025 11/03/2025
BERGMAN, JEFFERY JOSEPH Supervising Prescribing Practitioner Osteopathic Physician 11615 11/03/2025
BERROCAL BRAVO, PAOLA SOFIA Supervising Prescribing Practitioner Medical Doctor 174416 11/03/2025
BISTER, MARY KATHLEEN Supervising Prescribing Practitioner Medical Doctor 156254 11/03/2025
BOLAND, KEVIN PATRICK Supervising Prescribing Practitioner Osteopathic Physician 12732 11/03/2025
BOVELL, DON WALDO MD Supervising Prescribing Practitioner Medical Doctor 81076 11/03/2025
BRACY, CONNOR LEE Supervising Prescribing Practitioner Medical Doctor 166978 11/03/2025
BRENNER, ANNETTE MAGNANT Supervising Prescribing Practitioner Medical Doctor 70818 11/03/2025
BRITTAIN, CONNOR MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 21185 11/03/2025
BROOKS, JOEL DEVOLENTINE Supervising Prescribing Practitioner Medical Doctor 34887 11/03/2025
BUCHANAN, CURTIS BLAKE Supervising Prescribing Practitioner Medical Doctor 131632 11/03/2025
BULTRON-RODRIGUEZ, CRISTINA Supervising Prescribing Practitioner Medical Doctor 98867 11/03/2025
CASTELLANOS, JOSEPH HENRY Supervising Prescribing Practitioner Medical Doctor 162638 11/03/2025
CECILIA, MICHAEL ALEXANDER Supervising Prescribing Practitioner Osteopathic Physician 15985 11/03/2025
CHERIAN, LESLIE Supervising Prescribing Practitioner Osteopathic Physician 16969 11/03/2025
CHIARA, VINCENT Supervising Prescribing Practitioner Osteopathic Physician 22135 11/03/2025
CHRYSTAL, SEAN ALLAN Supervising Prescribing Practitioner Osteopathic Physician 18317 11/03/2025
CISSE, NATA Supervising Prescribing Practitioner Medical Doctor 162132 11/03/2025
CLEMENTS, JARED Supervising Prescribing Practitioner Medical Doctor 172162 11/03/2025
CONKLU, EMRE MEHMET Supervising Prescribing Practitioner Osteopathic Physician 10121 11/03/2025
CONLEY, AMY RUBEN Supervising Prescribing Practitioner Medical Doctor 79991 11/03/2025
CROFT, DEVIN Supervising Prescribing Practitioner Medical Doctor 162073 11/03/2025
CUEVAS, DANIEL LIM Supervising Prescribing Practitioner Medical Doctor 129675 11/03/2025
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 11/03/2025
DALAL, ROHAN Supervising Prescribing Practitioner Osteopathic Physician 22146 11/03/2025
DAMIANO, THOMAS R Supervising Prescribing Practitioner Medical Doctor 147160 11/03/2025
DAWKINS, DONALD Supervising Prescribing Practitioner Osteopathic Physician 10160 11/03/2025
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 11/03/2025
DEWAN, VAIL LEE MD Supervising Prescribing Practitioner Medical Doctor 93083 11/03/2025
DIGIOIA, KRISTIN TERESA Supervising Prescribing Practitioner Osteopathic Physician 17594 11/03/2025
DIXON, MARK DALE MD Supervising Prescribing Practitioner Medical Doctor 63074 11/03/2025
EDGINTON, SIMON ROY M D Supervising Prescribing Practitioner Medical Doctor 74221 11/03/2025
FAMA, CHRISTOPHER Supervising Prescribing Practitioner Medical Doctor 176040 11/03/2025
FASIUDDIN, NAJAM Supervising Prescribing Practitioner Osteopathic Physician 15006 11/03/2025
FIELDS, WILLIAM ANTHONY Supervising Prescribing Practitioner Medical Doctor 122379 11/03/2025
FORTSON, SEAN JAMISON Supervising Prescribing Practitioner Osteopathic Physician 8702 11/03/2025
FRANCIS, JEFFREY Supervising Prescribing Practitioner Medical Doctor 155906 11/03/2025
GARCIA-GONZALEZ, ALEXANDER Supervising Prescribing Practitioner Medical Doctor 109637 11/03/2025

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/21/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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