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

Leah Marie Vidal, PA-C

Individual provider Gynecology Physician · NPI 1124865209

Leah Marie Vidal, PA-C is a Physician Assistant in Pinehurst, North Carolina. Graduated from Wake Forest University School of Medicine in 2024, 2 years ago. Practices with Pinehurst Surgical Clinic PA, a 92-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2024
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

5 First Village Dr
Pinehurst, NC 28374-9495
Phone: (910) 295-6831
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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 (NC)
Gynecology Physician Taxonomy 207VG0400X · Licence 0010-14407 (NC)

Record details

NPI number1124865209
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Pinehurst Surgical Clinic Pa — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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