Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Mallory Deanne Fairweather, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770224438

MS. Mallory Deanne Fairweather, PA-C is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Id Care(r) - Infectious Diseases Specialty Practice PA, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fayetteville, NC

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4350 Us 421 S, Lillington, NC 27546-6760 — (910) 893-1210

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770224438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Id Care(R) - Infectious Diseases Specialty Practice Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 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 patients64
Services billed 185 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

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.

  • Cape Fear Valley Medical Center Hospital · Fayetteville, NC

Colleagues at Id Care(r) - Infectious Diseases Specialty Practice PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 10 clinicians in the practice; 8 are shown here.

Other providers in Fayetteville