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

Mr. Dylan Thomas Plocki, PA-C

Individual provider Physician Assistant · NPI 1053879502

Mr. Dylan Thomas Plocki, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2019, 7 years ago. Practices with University of Utah Specialty Services, a 92-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
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

3200 Northline Ave Ste 200
Greensboro, NC 27408-7602
Phone: (336) 545-5000
Fax: (336) 545-5020
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)

  • 170 Kimel Park Dr, Winston Salem, NC 27103-6946 — (336) 768-1270

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08998 (NC)

Record details

NPI number1053879502
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2019
Last updated in NPPESMarch 9, 2025
Certification dateMarch 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Utah Specialty Services — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Greensboro