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

Mary G Witkowski, PA

Individual provider Physician Assistant · NPI 1467007377

Mary G Witkowski, PA is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Practices with Fastmed PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
7
Licensed in
NC, NY
In the registry since
2019
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

3007 Town Center Dr Ste 100
Fayetteville, NC 28306-3663
Phone: (518) 292-6000
Fax: (518) 292-6005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2231 Burdett Ave Ste 160, Troy, NY 12180-2453 — (518) 292-6200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12505 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 023809 (NY)

Record details

NPI number1467007377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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