Mia Cameron Cleary
Individual provider Active NPI Physician Assistant · Elon, NC
NPI 1174487649 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1174487649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 100 Campus Dr
Elon, NC 27244-9423 - Phone
- (336) 278-2000
- NPI assigned
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
100 Campus Dr
Elon, NC 27244-9423
Mailing address
100 Campus Dr
Elon, NC 27244-9423
Phone (336) 278-2000
Other providers in Elon, NC
- Heather Lynn Burris
- Danielle Carter
- Susan B. Parker Chapman
- Alexander C Chavez
- Katie Marie Chrisco
- Adriana Cline
- William Cloud Jr.
- Laura A Cobb
- Rowena S Crist
- Hannah Daly
All providers in Elon, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.