Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Canio Thomas Marcantonio, PA

Individual provider Physician Assistant · NPI 1730148263

Mr. Canio Thomas Marcantonio, PA is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2002, 24 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2915 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone: (336) 765-5221
Fax: (336) 765-0430
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103 — (336) 245-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103584 (NC)

Record details

NPI number1730148263
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients72
Services billed 96 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Novant Health Medical Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2410 clinicians in the practice; 12 are shown here.

Other providers in Winston Salem