Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy Marshall Flack, PA-C

Individual provider Medical Physician Assistant · NPI 1790231223

Mr. Timothy Marshall Flack, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from Kentucky School of Medicine in 2016, 10 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Trained at
Kentucky School of Medicine
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone: (919) 781-5600
Show map & directions

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

Additional practice locations (3)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-4372
  • 1617 N Main St, Fuquay Varina, NC 27526-9021 — (984) 215-6595
  • 1325 Timber Dr E, Garner, NC 27529-6924 — (919) 781-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06646 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-06646 (NC)

Record details

NPI number1790231223
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2016
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolKENTUCKY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 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 patients282
Services billed 578 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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 North Carolina Mg LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 712 clinicians in the practice; 12 are shown here.

Other providers in Raleigh