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

Dylan Malloy, PA-C

Individual provider Medical Physician Assistant · NPI 1275988990

Dylan Malloy, PA-C is a Physician Assistant in Mint Hill, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group and accepts Medicare assignment. Licensed in Connecticut and North Carolina.

Years since qualifying
10
Licensed in
CT, NC
In the registry since
2016
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

11300 Cresthill Dr Ste 120
Mint Hill, NC 28227-7924
Phone: (704) 438-9479
Fax: (704) 438-9478
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09649 (NC)
Medical Physician Assistant Taxonomy 363AM0700X (CT)

Record details

NPI number1275988990
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 2, 2016
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing addressPo Box 601843, Charlotte, NC 28260-1843

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 Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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