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

Individual provider Physician Assistant · NPI 1386481091

Madison Brooke Mancino, PA-C is a Physician Assistant in Mooresville, North Carolina. Qualified in 2024, 2 years ago. Practices with Charlotte Eye Ear Nose and Throat Associates PA, a 168-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
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

144 Fountain Pl
Mooresville, NC 28117-0162
Phone: (704) 658-0595
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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 0010-14400 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1386481091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Charlotte Eye Ear Nose And Throat Associates Pa — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mooresville