Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Nicholas De Lay, PA-C

Individual provider Physician Assistant · NPI 1174103626

Jordan Nicholas De Lay, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2020, 6 years ago. Practices with Wake Specialty Physicians LLC, a 178-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
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

815 Springfield Commons Dr
Raleigh, NC 27609-8529
Phone: (919) 235-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-11134 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11134 (NC)

Record details

NPI number1174103626
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wake Specialty Physicians Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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