Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Miranda Jean Weavil, PA-C

Individual provider Physician Assistant · NPI 1356058358

Miss. Miranda Jean Weavil, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Thomasville Medical Center LLC, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone: (336) 718-5570
Fax: (336) 718-5569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 Bethesda Ct, Winston Salem, NC 27103-3019 — (336) 718-5570

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12687 (NC)

Record details

NPI number1356058358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Novant Health Thomasville Medical Center Llc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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