Mary Carlisle Averill, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Salisbury, NC
NPI 1679535611 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1679535611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- G3973 (TX)
- Practice address
- 1601 Brenner Ave
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- Fax
- (704) 638-3355
- NPI assigned
- Apr 5, 2006
- 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3973 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G3973 | TX | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G3973 | TX | Yes |
Addresses
Primary practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Mailing address
3665 Pelham LN
Charlotte, NC 28211-3721
Phone (704) 365-2722
Other providers in Salisbury, NC
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- Carol Leather Aycoth
- Elaria Ayoub
- Shanyn L Aysta Isaac
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- Avi Bagley
All providers in Salisbury, NC · Geriatric Medicine (Internal Medicine) Physician 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 Jul 13, 2026. 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.