Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kerry Clancy, PA

Individual provider Physician Assistant · NPI 1669473153

Kerry Clancy, PA is a Physician Assistant in Fayetteville, North Carolina. Qualified in 1999, 27 years ago. Practices with Matrix Occupational Health PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2005
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

217 Glensford Dr
Fayetteville, NC 28314
Phone: (910) 483-4647
Fax: (910) 483-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 Fairbluff Dr, Hope Mills, NC 28348-5670 — (910) 423-0804

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000102790 (NC)

Record details

NPI number1669473153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESSeptember 10, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Matrix Occupational Health Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients150
Services billed 409 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Matrix Occupational Health PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 42 clinicians in the practice; 12 are shown here.

Other providers in Fayetteville