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Physician Assistant

Side Mack Jr., PA

Sees patients in Winston Salem, NC · Greensboro, NC · Lexington, NC … · North Carolina

Summary

Side Mack Jr., PA (Physician Assistant) is enrolled with Medicare at 8 practice locations in Winston Salem, NC, Greensboro, NC and Lexington, NC and other places. NPI 1740232966. Medicare data says the clinician accepts Medicare assignment. Source: CMS National Downloadable File, updated 2026-10-02.

From official Medicare data

This page shows what Medicare's official clinician data says about Side Mack Jr., joined by NPI number (data updated 2026-10-02). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Physician AssistantPrimary specialty
YesAccepts Medicare assignment
21Years since medical school (graduated 2005)
MaleGender (as listed)
Carolina Medicorp Enterprises LLCGroup practice

Quick answers

Where does Side Mack Jr. see patients?
Medicare's clinician data lists 8 practice locations, including Winston Salem, NC, Greensboro, NC and Lexington, NC. Call before your visit to confirm the address.
What is Side Mack Jr.'s specialty?
Medicare lists Physician Assistant as the primary specialty.
Does Side Mack Jr. accept Medicare assignment?
Yes. Medicare's clinician data says Side Mack Jr. accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of 2026-10-02. Ask the office to confirm before your visit.
What is the phone number for Side Mack Jr.?
(336) 441-5569, as listed in official Medicare / NPI Registry data.
What is Side Mack Jr.'s NPI number?
1740232966. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Practice locations

Addresses where Side Mack Jr. is enrolled with Medicare (CMS data updated 2026-10-02). The first 5 of 8; the Medicare profile lists all.

Group practices

Medicare enrollment lists Side Mack Jr. as a member of this group (CMS data updated 2026-10-02).

  • Carolina Medicorp Enterprises LLC179 clinicians in the group

Specialties

Find other clinicians: Physician Assistant, North Carolina →

Other physician assistants in Winston Salem

Clinicians with the same Medicare primary specialty in Winston Salem, NC — not a recommendation.

All physician assistants in Winston Salem →

Clinician information

CredentialPA
Graduation year2005
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1740232966
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. National Downloadable File (Doctors and Clinicians) — CMS, data updated 2026-10-02, retrieved 2026-10-29
  2. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  3. Medicare Care Compare — official Medicare tool to look up clinicians