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

Mrs. Breanna Elizabeth Flaccavento, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780212175

Mrs. Breanna Elizabeth Flaccavento, PA-C is a Physician Assistant in Four Oaks, North Carolina. Qualified in 2020, 6 years ago. Practices with Tri County Community Health Council Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
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 →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Four Oaks, NC

Additional practice locations (1)

  • 4350 Us 421 S, Lillington, NC 27546-6760 — (910) 893-1210

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10537 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780212175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tri County Community Health Council Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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