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

Tessica Grace Martin, PA-C

Individual provider Physician Assistant · NPI 1053104398

Tessica Grace Martin, PA-C is a Physician Assistant in Mooresville, North Carolina. Qualified in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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

653 Bluefield Rd Ste A
Mooresville, NC 28117-9626
Phone: (704) 360-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NC)

Record details

NPI number1053104398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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