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Licensee Information

Takashi Hirata - MD
2006-00718
Active
No
06/14/2006
03/30/2027

Active Supervisees

NameTypeStatusApprovedInactive
Beck, Shalyn Ann Nurse Practitioner Active 06/07/2018
Bovender, Margaret Mcrae Nurse Practitioner Active 10/06/2009
Bray, Kristy Mcleod Nurse Practitioner Active 12/27/2024
Clayton, David Grant Nurse Practitioner Active 01/29/2026
Hartman, Lindsay Tatum Nurse Practitioner Active 03/14/2014
Haynes, Renee Childress Nurse Practitioner Active 07/15/2026
Mcdonald, Margaret O'reilly Physician Assistant Active 03/05/2026
Mullane, Marilyn Kay Physician Assistant Active 05/05/2025
Preslar, Brittney Heath Nurse Practitioner Active 05/12/2025
Zendel, Jordan Richardson Physician Assistant Active 08/12/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Novant Health Hillsdale Medical Associates
121 Medical Drive
Advance, NC 27006
336-998-9060

Information

Medical School

SchoolGraduation
Wake Forest University School of Medicine2004

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Wake Forest Baptist Medical CenterFamily Medicine NC, US Residency2007

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
Family Medicine2017

Area of Practice

Area Of PracticePrimary
Adolescent & Young Adult Medicine 
Family Medicine 
GynecologyYes

Current Membership in Medical Professional Organizations

Membership
American Academy of Family Physicians
American Society of Colposcopy and Cervical Pathology
North Carolina Academy of Family Physicians
Society of Teachers of Family Medicine
The Society for Adolescent Medicine

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
Clinical Instructor of Family MedicineWFU School of Medicine Winston Salem, NC, US

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/20/2026 9:57:05 AM

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