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

Gregory Derrick Tallent, PAC

Individual provider Physician Assistant · NPI 1982716585

Gregory Derrick Tallent, PAC is a Physician Assistant in Raleigh, North Carolina. Qualified in 2005, 21 years ago. Practices with Certus Psychiatry and Integrated Care PLLC, a 17-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina, New York and South Carolina.

Years since qualifying
21
Licensed in
NC, NY, SC
In the registry since
2006
Specialties on file
4
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 — (843) 497-5929

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00359 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 021664 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1020 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001000359 (NC)

Record details

NPI number1982716585
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 23, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Certus Psychiatry And Integrated Care Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Raleigh