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

Michael T Leddy, PA

Individual provider Physician Assistant · NPI 1265512966

Michael T Leddy, PA is a Physician Assistant in Rock Hill, South Carolina. Graduated from Wake Forest University School of Medicine in 2004, 22 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
22
Trained at
Wake Forest University School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

200 S Herlong Ave Ste H
Rock Hill, SC 29732-1182 Not confirmed with CMS for 19 years — call before visiting
Phone: (803) 366-6135
Fax: (803) 366-3439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 954 (SC)

Record details

NPI number1265512966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients370
Services billed 488 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Wake Forest Emergency Providers

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 489 clinicians in the practice; 12 are shown here.

Other providers in Rock Hill