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

Martha Mallary Clay, PA

Individual provider Medical Physician Assistant · NPI 1053048710

Martha Mallary Clay, PA is a Medical Physician Assistant in Kernersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
2
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

240 Broad St
Kernersville, NC 27284-2930
Phone: (336) 993-8333
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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 001012577 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001012577 (NC)

Record details

NPI number1053048710
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2022
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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