MRS. MARY DEAKLE PA-C
NPI 1992762538
Physician Assistant in Clemmons, NC

Q: What is Mary Deakle's NPI number?

The NPI number for Mary Deakle is 1992762538. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Mary Deakle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Deakle was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 27, 2006

6301 STADIUM DR, CLEMMONS, NC 27012(336) 766-6473(336) 766-8909 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mary Deakle Pa-c NPPES

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

MRS. MARY DEAKLE PA-C (NPI 1992762538) is an individual physician assistant in Clemmons, North Carolina, licensed in North Carolina (100874) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1992762538

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MARY DEAKLECredential: PA-C

Location Address6301 STADIUM DRClemmons, NC 27012-8766

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 766-6473 · Fax (336) 766-8909

Phone(336) 766-6473

Fax(336) 766-8909

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedSeptember 6, 2020

✔ NPI 1992762538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 100874

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 100874 (NC)

6301 STADIUM DR, Clemmons, NC 27012

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Other Identifiers 2

Medicaid8101680NC

OtherP00654536NC · Railroad Medicare

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

97%38 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

75%63 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

51%67 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

80%41 patients4/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

2%53 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

KIRK A. TURNER, DDS, PA

Dentist (General Practice)