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

Jack Joseph Poyle, PA-C

Individual provider Physician Assistant · NPI 1780398180

Jack Joseph Poyle, PA-C is a Physician Assistant in Clemmons, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
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

7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8041
Phone: (336) 893-2400
Fax: (336) 893-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 211 Old Lexington Rd, Thomasville, NC 27360-3428 — (336) 474-8153
  • 30611 Iris Ct, North Olmsted, OH 44070-6320 — (216) 338-2408

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13241 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1780398180
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2023
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

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 Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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