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

Mr. Benjamin Keith Boles, PA-C

Individual provider Medical Physician Assistant · NPI 1447676788

Mr. Benjamin Keith Boles, PA-C is a Physician Assistant in Clemmons, North Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
Specialties on file
2
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

7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8029
Phone: (336) 893-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Robinhood Medical Plaza, Winston-Salem, NC 27106-9998 — (336) 718-0800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04882 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-04882 (NC)

Record details

NPI number1447676788
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2014
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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