Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Skye Mallory, RPA-C

Individual provider Physician Assistant · NPI 1538836630

Samantha Skye Mallory, RPA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2021, 5 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
5
Licensed in
NC, NY
In the registry since
2021
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-1707
Phone: (336) 713-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5 Palisades Dr Ste 100, Albany, NY 12205-6433 — (518) 438-4496
  • 315 So Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550
  • 2215 Burdett Avenue, Troy, NY 12180-2466 — (518) 271-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13866 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 027544 (NY)

Record details

NPI number1538836630
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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 Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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