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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MARY SUSAN SHAW TOLBERT PA-C
NPI 1790767705
Physician Assistant in Fort Bragg, NC

Active since November 16, 2005
BUILDING C-1722, TAGATAY AND GRUBER RD., FORT BRAGG, NC 28310(910) 907-8282(910) 907-9360 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Jan 25, 2016 (2 updates tracked since 2016).

About Mrs. Mary Susan Shaw Tolbert Pa-c NPPES

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

MRS. MARY SUSAN SHAW TOLBERT PA-C (NPI 1790767705) is an individual physician assistant in Fort Bragg, North Carolina, licensed in Tennessee (PA0000001709) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1790767705
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY SUSAN SHAW TOLBERTCredential: PA-C
Location AddressBUILDING C-1722, TAGATAY AND GRUBER RD.Fort Bragg, NC 28310-0001
Mailing Address1511 Donelson Pkwy, Womack Army Medical CenterDover, TN 37058-3749 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-8282
Fax(910) 907-9360
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1790767705 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 TN · PA0000001709
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.
BUILDING C-1722, Fort Bragg, NC 28310
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Other Names 1

Former Name (1)Mary Susan Shaw Pa-c

Other Identifiers 1

Medicaid7044670WA

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 Mary Susan Tolbert's NPI number?

The NPI number for Mary Susan Tolbert is 1790767705. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Mary Susan Shaw Pa-C.

Where is Mary Susan Tolbert located?

Mary Susan Tolbert practices at Building C-1722 Tagatay And Gruber Rd., Fort Bragg, NC 28310. The listed phone number is (910) 907-8282.

What is Mary Susan Tolbert'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 Mary Susan Tolbert was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.