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

Rexford Reynold Fisher III, PA-C

Individual provider Internal Medicine Physician · NPI 1629685912

Rexford Reynold Fisher III, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2020
Specialties on file
5
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

6615 Academic Ave
Raleigh, NC 27616-8094
Phone: (585) 694-0715
Show map & directions

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

Additional practice locations (1)

  • 3000 New Bern Ave, Raleigh, NC 27610-1231 — (919) 350-8000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0010-11302 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11302 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-11302 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629685912
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESDecember 1, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Raleigh