Active NPI
Caitlin Marie Cleary, PA-C
- Physician Assistant
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10747
- Practice address
- 354 Copperfield Blvd NE
Concord, NC 28025-2402 - Phone
- (704) 786-5122
- Fax
- (704) 782-8279
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00502100 | NJ | |
| Medical Physician Assistant | 363AM0700X | 1132 | NH | |
| Physician Assistant | 363A00000X | 0010-10747 | NC | Primary |
Addresses
Primary practice location
354 Copperfield Blvd NE
Concord, NC 28025-2402
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
1020 Tree of Life LN
Cornelius, NC 28031-9454
Phone (704) 801-8100
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282
3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717
354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone (704) 323-2276
Hospital & facility affiliations
- Atrium Health University City
- Atrium Health Lincoln
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | NH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Orthocarolina | Physician Assistant | Current | Accepting new patients |
| Orthocarolina, PA | Physician Assistant | Current | Accepting new patients |
| Orthonj LLC | Current | Accepting new patients | |
| Orthopaedic Institute of Central Jersey | Current | Accepting new patients | |
| Orthonj LLC | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
354 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 262-4181
2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404
2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404
2164 Route 35
Bldg A
Sea Girt, NJ 08750
Phone (732) 240-6060
226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060
Interoperability endpoints
- cclearylynch3041695@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1497704217
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Registered Dietitian
- Huntersville, NC
- NPI 1518405257
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
-
- Orthopaedic Surgery Physician
- Red Bank, NJ
- NPI 1598263360
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1013380393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2445",
"fax_number": "704-945-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252402",
"telephone_number": "704-786-5122",
"fax_number": "704-782-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00502100",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "1132",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.