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The school was established as a merger of Madison-Mayodan and Stoneville High Schools. Band and Athletic programs of the two former schools (formerly the Falcons and Eagles, respectively) were merged in 1989, and the new facilities were opened in 1991.

McMichael High School is the home of the 2004, 2007 NCHSAA 2A Dual Team State Championship Wrestling teams, the 1995 NCHSAA 2A Men's Tennis State Championship team, and the 2009 NCHSAA 2A Baseball Championship team.

The school is named after Dalton L. McMichael (1914–2001), a textile executive in North Carolina.