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

Mrs. Mary Deakle, PA-C

Individual provider Medical Physician Assistant · NPI 1992762538

Mrs. Mary Deakle, PA-C is a Medical Physician Assistant in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

6301 Stadium Dr
Clemmons, NC 27012-8766
Phone: (336) 766-6473
Fax: (336) 766-8909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 100874 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 100874 (NC)

Record details

NPI number1992762538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 6, 2020

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