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

Jack Llorrac Bagley, PA-C

Individual provider Physician Assistant · NPI 1083653745

Jack Llorrac Bagley, PA-C is a Physician Assistant in Wilmington, North Carolina. Qualified in 2000, 26 years ago. Practices with Rdmg Associates PA, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
26
Licensed in
MO, NC
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2208 S 17th St
Wilmington, NC 28401-7593
Phone: (910) 763-3333
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)

  • 1002 N Church St Ste 200, Greensboro, NC 27401-1448 — (336) 907-7773

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103055 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 2006004610 (MO)

Record details

NPI number1083653745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Rdmg Associates Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington