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

Ashley Marie Clark Medina, PA-C

Individual provider Vascular & Interventional Radiology Physician · NPI 1720372790

Ashley Marie Clark Medina, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2011, 15 years ago. Practices with Triad Radiology Associates PLLC, a 75-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2011
Specialties on file
2
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

3010 Trenwest Dr
Winston Salem, NC 27103-3208
Phone: (336) 970-5300
Fax: (336) 970-6334
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04099 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 0010-04099 (NC)

Record details

NPI number1720372790
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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 2011 (15 years in practice)
Group practice Triad Radiology Associates Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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