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

Jacqueline Flynn, PA

Individual provider Surgical Physician Assistant · NPI 1104215649

Jacqueline Flynn, PA is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2827 Lyndhurst Ave
Winston Salem, NC 27103-4145
Phone: (336) 794-8624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (404) 932-2506

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05531 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-05531 (NC)

Record details

NPI number1104215649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 21, 2015
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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