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

Mrs. Maybelle M Madlock, PA-C

Individual provider Physician Assistant · NPI 1740250463

Mrs. Maybelle M Madlock, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2002, 24 years ago. Practices with Southern Dermatology PA, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10931 Raven Ridge Rd Ste 101
Raleigh, NC 27614-6499
Phone: (919) 870-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Sw Cary Pkwy, Cary, NC 27511-5562 — (919) 467-8556
  • 800 Springfield Commons Dr, Raleigh, NC 27609-8532 — (919) 876-3656

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001000379 (NC)

Record details

NPI number1740250463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southern Dermatology Pa — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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