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

Individual provider Physician Assistant · NPI 1760182372

Dejan Nikolic, PA-C is a Physician Assistant in Lenoir, North Carolina. Qualified in 2022, 4 years ago. Practices with Caldwell Memorial Hospital Inc, a 215-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
Specialties on file
3
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

401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463
Phone: (182) 875-7643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13100 (NC)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-13100 (NC)

Record details

NPI number1760182372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Caldwell Memorial Hospital Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lenoir