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

Miss. Deborah Marisa Prouse, PA-C, ATC

Individual provider Athletic Trainer · NPI 1063512093

Miss. Deborah Marisa Prouse, PA-C, ATC is a Physician Assistant in Clayton, North Carolina. Qualified in 2015, 11 years ago. Practices with Emergeortho PA, a 724-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2076 Hwy 42 W Ste 300
Clayton, NC 27520-5302
Phone: (919) 220-5255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Kellie Dr, Smithfield, NC 27577-9444 — (919) 220-5255

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06287 (NC)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1063512093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESOctober 13, 2021
Certification dateSeptember 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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