Individual provider Active NPI

Margaret O'Reilly McDonald, P.A.-C

  • Medical Physician Assistant
  • Clemmons, NC
National Provider Identifier
1386972057
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001002059 Issued in NC
Practice address
4136 Clemmons Rd
Clemmons, NC 27012-7520
Phone
(336) 893-1300
Fax
(336) 893-1309
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 0010-02059 NC
Medical Physician Assistant 363AM0700X 001002059 NC Primary

Addresses

Primary practice location

4136 Clemmons Rd
Clemmons, NC 27012-7520

Mailing address

PO Box 60447
Wake Forest University Health Sciences
Charlotte, NC 28260-0447
Phone (336) 893-1300

Other practice location 1

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

Other practice location 2

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 716-2255

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
I20100119000535 NC Practitioner - Physician Assistant 8820130552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

4130 Clemmons Rd
Clemmons, NC 27012-7520
Phone (336) 277-1890

4136 Clemmons Rd
Clemmons, NC 27012-7520
Phone (336) 893-1300

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001002059NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 10, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Feb 10, 2025 Accepting new patients
Mediq Urgent Care PC CurrentSince Jun 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

10102 S Main St
Ste U
Archdale, NC 27263
Phone (336) 900-1441

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

4136 Clemmons Rd
Clemmons, NC 27012
Phone (336) 893-1300

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

1600 Highwoods Blvd
Greensboro, NC 27410
Phone (336) 765-5350

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

12201 N NC Highway 150
Ste 11
Winston Salem, NC 27127
Phone (336) 738-1691

50 Miller St
Ste C
Winston Salem, NC 27104
Phone (336) 310-5535

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Interoperability endpoints

  • Direct secure messaging: mmcdonald1661052@direct.novanthealth.org

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1386972057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "address_2": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-893-1300",
            "fax_number": "336-893-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127520",
            "telephone_number": "336-893-1300",
            "fax_number": "336-893-1309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hanes Square Cir",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035514",
            "country_code": "US",
            "telephone_number": "336-441-5569",
            "fax_number": "336-771-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARGARET",
        "middle_name": "O'REILLY",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02059",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001002059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.