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

Phyllis Mack Wilson, PA-C

Individual provider Physician Assistant · NPI 1699801142

Phyllis Mack Wilson, PA-C is a Physician Assistant in Laurinburg, North Carolina. Qualified in 1994, 32 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Licensed in
NC
In the registry since
2007
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

1604 Medical Dr
Laurinburg, NC 28352-5524
Phone: (704) 323-2000
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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 101795 (NC)

Record details

NPI number1699801142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJanuary 7, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laurinburg