Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joseph Isaac Licata, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093264459

Joseph Isaac Licata, PA-C is a Physician Assistant in Durham, North Carolina. Qualified in 2016, 10 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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

2301 Erwin Rd
Durham, NC 27705-4699
Phone: (919) 684-8111
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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 0010-06709 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 001006709 (NC)

Record details

NPI number1093264459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 27, 2016
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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