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

Micaela Dionysios Antzoulatos, PA-C

Individual provider Physician Assistant · NPI 1538715578

Micaela Dionysios Antzoulatos, PA-C is a Physician Assistant in Wilmington, North Carolina. Qualified in 2020, 6 years ago. Practices with Wilmington Ear Nose and Throat Assoc PA, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2311 Delaney Ave
Wilmington, NC 28403-6012
Phone: (910) 762-8754
Fax: (910) 762-0778
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8115 Market St Ste 200, Wilmington, NC 28411-8430 — (910) 762-8754

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10240 (NC)

Record details

NPI number1538715578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wilmington Ear Nose And Throat Assoc Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmington