Martha Mallary Clay, PA
NPI 1053048710ActiveIndividual· Physician Assistant· Kernersville, NC
Physician Assistant (PA) in Kernersville, North Carolina, licensed in NC, with an NPI issued in August 2022. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1053048710 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 3, 2022 |
| Last updated in NPPES | Apr 30, 2025 |
| Certified by provider | Apr 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 001012577 | NC |
| Physician Assistant, Medical | 363AM0700X | 001012577 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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