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

Mrs. Antonia Marie Decker, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1225409485

Mrs. Antonia Marie Decker, PHYSICIANASSISTANT is a Physician Assistant in Raleigh, North Carolina. Qualified in 2015, 11 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
11
Licensed in
IL, WI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4325 Lake Boone Trl Ste 315
Raleigh, NC 27607-7510
Phone: (984) 974-0496
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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 3951 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.005534 (IL)

Record details

NPI number1225409485
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedOctober 14, 2015
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

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 University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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