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

Jonathan Nicholas Desillier, PA-C

Individual provider Physician Assistant · NPI 1194202879

Jonathan Nicholas Desillier, PA-C is a Physician Assistant in Supply, North Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in Colorado and North Carolina.

Years since qualifying
8
Licensed in
CO, NC
In the registry since
2018
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

6 Doctors Cir Ste 5
Supply, NC 28462-6358
Phone: (910) 721-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13140 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA.0005423 (CO)

Record details

NPI number1194202879
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Supply