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

Anna Jeanne Ciccolini, PA-C

Individual provider Medical Physician Assistant · NPI 1104925254

Anna Jeanne Ciccolini, PA-C is a Physician Assistant in Garner, North Carolina. Graduated from State University of New York at Stony Brook, School of Medicine in 2006, 20 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

811 US 70 Hwy W
Garner, NC 27529-2541
Phone: (919) 235-6565
Fax: (919) 235-6596
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-09323 (NC)

Record details

NPI number1104925254
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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