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

MS. Macy Alexandra Mantooth, PA-C

Individual provider Physician Assistant · NPI 1598404055

MS. Macy Alexandra Mantooth, PA-C is a Physician Assistant in Cary, North Carolina. Graduated from Wake Forest University School of Medicine in 2022, 4 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2022
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

115 Crescentcommons Dr Ste 100
Cary, NC 27518-8102
Phone: (919) 803-3707
Fax: (919) 803-1969
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1059 Beaver Creek Commons Dr Unit 230, Apex, NC 27502-3918 — (984) 960-1300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12344 (NC)

Record details

NPI number1598404055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cary