Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Axia Leah Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1104272400

Axia Leah Wilson, PA-C is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2016, 10 years ago. Practices with Id Care(r) - Infectious Diseases Specialty Practice PA, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3645 Cape Center Dr
Fayetteville, NC 28304-4457
Phone: (910) 483-9200
Fax: (910) 483-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001006419 (NC)

Record details

NPI number1104272400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Id Care(R) - Infectious Diseases Specialty Practice Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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