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CSM Physician Assistants

T. Shawn Fitzgerald, PA-C

Shawn was Dr. Esposito's physician assistant from 2002-2013. He became Dr. Messina's Physician's Assistant upon Dr. Esposito's retirement in January 2014. In addition to working in the Wilmington location, he sees patients at the Whiteville satellite office.

In his leisure time, Shawn enjoys water sports and competes in triathlons. He and his wife, Kerry, have 3 children.


  • B.A., Sports Medicine, Catawba College
  • B.S., Physician Assistant Studies, Marywood University


  • Catawba College Athletic Training Hall of Fame – 2016

Professional Memberships:

  • Coastal Cape Fear Orthopedic Society
  • New Hanover-Pender County Medical Society
  • National Commission on Certification of Physician Assistants
  • North Carolina Academy of Physician Assistants
  • North Carolina Medical Society

David Fox, PA-C, MMSc

David has over 15 years experience as an orthopedic physician assistant. He works in tangent with Dr. Lippe and sees patients in Wilmington, Whiteville and Oak Island.

David enjoys tennis, water sports, and college football. He and his wife Pam have three daughters.


  • B.S. Health Education- East Carolina University 
  • Masters of Medical Science in Physician Assistant Studies- Emory University

Professional Memberships:

  • National Commission on Certification of Physician Assistants 
  • American Academy of Physician Assistants 
  • North Carolina Academy of Physician Assistants
  • Physician Assistants in Orthopedic Surgery