Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Canio Thomas Marcantonio, PA

Individual provider Physician Assistant · NPI 1730148263

Mr. Canio Thomas Marcantonio, PA is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2002, 24 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
24
Licensed in
NC
In the registry since
2006
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

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone: (336) 765-5221
Fax: (336) 765-0430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103 — (336) 245-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103584 (NC)

Record details

NPI number1730148263
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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