Carly Allison Craft, PA-C
Physician Assistant in Greensboro, NC. Individual provider (NPI-1).
NPI number1255010674
StatusActive
Last updated in NPPESJan 21, 2025
Details
- NPI
- 1255010674
- Entity type
- Individual (NPI-1)
- Name
- Carly Allison Craft
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2023
- Certification date
- Jan 21, 2025
- Last updated
- Jan 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-13302 | NC | Yes |
Practice location
4529 Jessup Grove RdGreensboro, NC 27410-9407
Phone 336-605-0190
Mailing address
100 Kimel Forest DrWinston Salem, NC 27103-6074
Phone 336-716-1331
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All 345 Physician Assistant providers in Greensboro · All 11,475 providers in Greensboro
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