MADISYN CREEKMORE PA
NPI 1225904279
Physician Assistant in South Brunswick, NC

Active since October 16, 2025
3650 EXPRESS DR, SOUTH BRUNSWICK, NC 28470(910) 754-2229 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madisyn Creekmore Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISYN CREEKMORE PA (NPI 1225904279) is an individual physician assistant in South Brunswick, North Carolina, licensed in North Carolina (0010-15914) and active in the NPI registry since October 2025. She maintains a secondary practice location in Southport.

NPPES Registry Identity

NPI1225904279
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISYN CREEKMORECredential: PA
Location Address3650 EXPRESS DRSouth Brunswick, NC 28470-6501
Mailing Address8082 Scarsdale St Ne Unit 7Leland, NC 28451-0979 · (336) 909-2725
Sole ProprietorNo
Enumeration DateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1225904279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-15914
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3650 EXPRESS DR, South Brunswick, NC 28470

Secondary Practice Location 1

Location 11517 N Howe St # 7-8Southport, NC 28461-2772 · Phone (910) 454-8877

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3650 EXPRESS DR
SHALLOTTE, NC 28470
Nurse Practitioner (Family)
3650 EXPRESS DR
SHALLOTTE, NC 28470
Nurse Practitioner
3650 EXPRESS DR
SHALLOTTE, NC 28470
Pediatrics
3650 EXPRESS DR
SHALLOTTE, NC 28470
Nurse Practitioner (Family)
3650 EXPRESS DR
SHALLOTTE, NC 28470
Nurse Practitioner (Family)
3650 EXPRESS DR
SHALLOTTE, NC 28470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madisyn Creekmore's NPI number?

The NPI number for Madisyn Creekmore is 1225904279. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Where is Madisyn Creekmore located?

Madisyn Creekmore practices at 3650 Express Dr, South Brunswick, NC 28470. The listed phone number is (910) 754-2229.

What is Madisyn Creekmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Madisyn Creekmore was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.