Individual provider · Type 1 NPI

Tracey S. Cloninger, PA-C

Physician Assistant · Raleigh, NC

NPI number 1164592275 Active

Practice location

4201 Lake Boone Trl, Suite 200
Raleigh, NC 27607-7511

Call (919) 782-2152 Map

Fax (919) 782-7929

Mailing address

PO Box 23329
New York, NY 10087-3329

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103242 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164592275

Tracey S. Cloninger, PA-C's National Provider Identifier is 1164592275, issued on Nov 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 25, 2026.