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

Faith Marie Malloy, PA-C

Individual provider Medical Physician Assistant · NPI 1265881015

Faith Marie Malloy, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 3 locations 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.

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Practice location Address checks out

445 S Kings Dr
Charlotte, NC 28204-3041
Phone: (980) 308-0141
Fax: (980) 308-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 945 Main St, Manchester, CT 06040-6064 — (860) 645-1232
  • 11300 Cresthill Dr Ste 120, Mint Hill, NC 28227-7924 — (704) 438-9479

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09656 (NC)
Medical Physician Assistant Taxonomy 363AM0700X (CT)

Record details

NPI number1265881015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2016
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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 locations16 on file with Medicare

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