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

Mr. Zachary William Flaccavento

Individual provider Physician Assistant · NPI 1851975577

Mr. Zachary William Flaccavento is a Physician Assistant in Raleigh, North Carolina. Graduated from Campbell Univ School of Osteopathic Medicine in 2021, 5 years ago. Practices with North Carolina Nephrology PA, a 58-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Phone: (919) 231-3966
Fax: (919) 231-3912
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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 0010-11539 (NC)

Record details

NPI number1851975577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2021
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice North Carolina Nephrology Pa — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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