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

MS. Rebekah Buckner Decamillis, PA

Individual provider Physician Assistant · NPI 1750718854

MS. Rebekah Buckner Decamillis, PA is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2013, 13 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1381 Westgate Center Dr
Winston Salem, NC 27103-2934
Phone: (336) 718-0440
Fax: (336) 718-0441
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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 0010-04491 (NC)

Record details

NPI number1750718854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2013
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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