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

Marilyn Kay Mullane, PA-C

Individual provider Medical Physician Assistant · NPI 1821091547

Marilyn Kay Mullane, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2003, 23 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2005
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

390 W Salem Ave
Winston Salem, NC 27101-5861
Phone: (336) 721-2375
Fax: (336) 721-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Stadium Oaks Dr, Clemmons, NC 27012-8962 — (336) 766-0547

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101138 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 101138 (NC)

Record details

NPI number1821091547
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESJanuary 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Winston Salem