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

Elliot J Poole, PA-C

Individual provider Physician Assistant · NPI 1184745960

Elliot J Poole, PA-C is a Physician Assistant in Raleigh, North Carolina. Works from 3 locations. Licensed in North Carolina, New York, Ohio and Pennsylvania.

Licensed in
NC, NY, OH, PA
In the registry since
2007
Specialties on file
5
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

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4220 Apex Hwy Ste 160, Durham, NC 27713-5295 — (919) 897-8784
  • 1705 Tarboro St Sw, Wilson, NC 27893-3437 — (252) 399-8040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04004 (NC)
Physician Assistant Taxonomy 363A00000X · Licence NCID0010-04004 (NC)
Physician Assistant Taxonomy 363A00000X · Licence MAO52471 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 027838 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 50.007481 (OH)

Record details

NPI number1184745960
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

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