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

Mr. Malcolm Hart Pannill II, PAC

Individual provider Physician Assistant · NPI 1508879370

Mr. Malcolm Hart Pannill II, PAC is a Physician Assistant in Raleigh, North Carolina. Qualified in 1988, 38 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Licensed in
NC
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3024 New Bern Ave Ste 306 - Ob/gyn
Raleigh, NC 27610-1247
Phone: (919) 350-8535
Fax: (919) 350-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101120 (NC)

Record details

NPI number1508879370
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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