Mary Deakle, PA-C
Physician Assistant · Clemmons, NC
Mary Deakle, PA-C is a physician assistant with a practice address in Clemmons, North Carolina, and NPI 1992762538, issued on Apr 27, 2006. Check the license (North Carolina 100874, as entered in NPPES) with the North Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Deakle
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 100874 NC
Self-reported in NPPES; status is on the state search - Practice location
- 6301 Stadium Dr, Clemmons, NC 27012
- Phone
- (336) 766-6473
- Enumerated
- Apr 27, 2006
- Record last updated
- Oct 28, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (336) 766-8909
- Medicaid ID
- 8101680 NC
- Entity
- Type 1 · individual
Also registered at 6301 Stadium Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carl Bollinger, O.D.Optometrist1922159169
- Jerry Chostner, DDSGeneral Practice Dentistry1629147814
- Alexander Craver, D.D.S.Dentist1548607054
- Terry Deakle, PAPhysician Assistant1326028382
- Haley Grimm, FNPNurse Practitioner1609759992
- Christopher Madden, M.D.Internal Medicine Physician1366446320
Verify Mary Deakle in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 100874Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
43 physician assistant records list a practice address in Clemmons
They are 43 of the 444 NPPES records with a practice address in Clemmons, and 9,279 physician assistant records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 43 in Clemmons → All 9,279 in North Carolina → Every provider in Clemmons →
Other physician assistant records in North Carolina
- Charles Aaron, PACharlotte, NC1396718037
- Franco Abad, PAWinston Salem, NC1154017440
- Christine Abbata, P.A.Wilmington, NC1730303603
- Princess Abbey, P.A.Matthews, NC1144661133
- Mary Abbott, PACAsheville, NC1619919776
- Samantha Abbott, PARaleigh, NC1194463729
- Mikayla Abee ThomasKing, NC1174345680
- Seth AbelHickory, NC1235510009
- Melinda Abercrombie, PA-CCharlotte, NC1760172647
- Caroline Aberman, PA-CGreensboro, NC1477180123
Common questions
What is Mary Deakle, PA-C's NPI number?
Mary Deakle, PA-C's National Provider Identifier (NPI) is 1992762538, issued on Apr 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Deakle, PA-C located?
The NPPES record lists a practice address at 6301 Stadium Dr, Clemmons, NC, 27012. Phone: (336) 766-6473. Providers update this record themselves, so call before visiting.
How can I verify Mary Deakle, PA-C's license?
NPPES lists North Carolina license number 100874, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.