# PILOT MEDICAL ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154322063
- **Authorized official:** DR. MICHELLE R NICHOLS (PHYSICIAN)
- **Authorized official phone:** (336) 368-2232

## Contact information

- **Practice address:** 213C E MARION ST, PILOT MTN, NC 27041-8535
- **Practice address phone:** (336) 368-1070
- **Practice address fax:** (336) 368-1071
- **Mailing address:** PO BOX 280, 4804 NC HWY 268 EAST, PILOT MTN, NC 27041-0280
- **Mailing address phone:** (336) 368-2232
- **Mailing address fax:** (336) 368-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89129N0 | — | NC |