Individual provider Active NPI

Mary E Tolle, P.A.

  • Physician Assistant
  • Pittsboro, NC
National Provider Identifier
1174687271
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103323 Issued in NC
Practice address
51 Mosaic Blvd Ste 100
Pittsboro, NC 27312-4945
Phone
(984) 215-6766
Fax
(984) 215-6768
NPI assigned
Dec 21, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103323 NC Primary
Family Medicine Physician 207Q00000X 103323 NC

Addresses

Primary practice location

51 Mosaic Blvd Ste 100
Pittsboro, NC 27312-4945

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

610 Jones Ferry Rd Ste 102
Carrboro, NC 27510-6113
Phone (919) 929-1747

Other identifiers 2

IdentifierTypeStateIssuer
P00938348OtherNCRR MEDICARE
8101937MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtolle203837@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000572 NC Practitioner - Physician Assistant 6507930310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

51 Mosaic Blvd
Pittsboro, NC 27312-4945

6013 Farrington Rd
Suite 101
Chapel Hill, NC 27517-8173
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103323NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network, LLC Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Carolina Mountain Emergency Medicine PA Past Accepting new patients
Park Ophthalmology Past Accepting new patients
Tri-City Family Medicine & Urgent Care Clinic, PLLC Family Medicine Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

51 Mosaic Blvd
Ste 100
Pittsboro, NC 27312
Phone (984) 215-6766

Interoperability endpoints

  • Direct secure messaging: mtolle203837@direct.unc.nchie.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1174687271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MOSAIC BLVD STE 100",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273124945",
            "telephone_number": "984-215-6766",
            "fax_number": "984-215-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Jones Ferry Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275106113",
            "country_code": "US",
            "telephone_number": "919-929-1747",
            "fax_number": "919-933-5168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103323",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "103323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00938348",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101937",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtolle203837@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "51 Mosaic Blvd Ste 100",
            "city": "Pittsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273124945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.