Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Gerald Marine, PA-C

Individual provider Physician Assistant · NPI 1831772771

Timothy Gerald Marine, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2020, 6 years ago. Practices with Emergeortho PA, a 724-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
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

4420 Lake Boone Trl Ste 203
Raleigh, NC 27607-7505
Phone: (919) 784-2930
Fax: (919) 784-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2196 Nc Highway 42 W, Clayton, NC 27520-8343 — (919) 220-5255
  • 100 Kellie Dr, Smithfield, NC 27577-9444 — (919) 220-5255

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11115 (NC)

Record details

NPI number1831772771
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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