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

Mr. Roberto A Marsico Jr., PA-C

Individual provider Physician Assistant · NPI 1225404635

Mr. Roberto A Marsico Jr., PA-C is a Physician Assistant in Concord, North Carolina. Qualified in 2015, 11 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
11
Licensed in
IL, NC
In the registry since
2015
Specialties on file
2
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

391 George W Liles Pkwy NW
Concord, NC 28027-8218
Phone: (713) 993-7344
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 (2)

  • 1501 S California Ave, Chicago, IL 60608-1732 — (630) 777-8388
  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001010564 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 085005562 (IL)

Record details

NPI number1225404635
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Concord