Individual provider Active NPI

Danielle Depierro Thomas, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1013389451
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06032 Issued in NC
Practice address
10620 Park Rd
Ste 202
Charlotte, NC 28210-8472
Phone
(704) 667-0920
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06032 NC Primary
Physician Assistant 363A00000X 085011414 IL
Physician Assistant 363A00000X 8349 WI

Addresses

Primary practice location

10620 Park Rd
Ste 202
Charlotte, NC 28210-8472

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

3173 W Highway 74
Monroe, NC 28110-8437
Phone (704) 283-2000

Other practice location 2

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (708) 634-0950

Other identifiers 1

IdentifierTypeStateIssuer
100380799MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address dthomas904916@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI, IL, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160206000054 NC Practitioner - Physician Assistant 5092019380 Reassigns benefits to 1 organization
I20251016000941 WI Practitioner - Physician Assistant 5092019380 Reassigns benefits to 1 organization
I20251020001520 IL Practitioner - Physician Assistant 5092019380 Reassigns benefits to 1 organization
I20260311003982 GA Practitioner - Physician Assistant 5092019380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29373 Network PL
Chicago, IL 60673-1293

420 E 2ND Ave
Suite 103
Rome, GA 30161-3210

PO Box
Chicago, IL 60673

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8349WIMDOccupational Therapist
0010-06032NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 3, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 24, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Floyd Healthcare Management Inc Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Sep 2, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 24, 2018 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Feb 1, 2026 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 2, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 3, 2016 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Kumar Patel MD LLC PastSince Oct 1, 2019 Accepting new patients

Locations

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

100 N 6th St
Ste 900A
Minneapolis, MN 55403

420 Park St
Belmont, NC 28012
Phone (704) 631-1820

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2709 Water Ridge Pkwy
Ste 500
Charlotte, NC 28217
Phone (704) 446-9173

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

3173 W Highway 74
Monroe, NC 28110
Phone (704) 283-2000

2209 S Sterling St
Ste 530
Morganton, NC 28655
Phone (828) 580-4230

340 Jake Alexander Blvd W
Ste 105
Salisbury, NC 28147
Phone (704) 403-6240

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: dthomas904916@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1013389451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 PARK RD",
            "address_2": "STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108472",
            "telephone_number": "704-667-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3173 W Highway 74",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281108437",
            "country_code": "US",
            "telephone_number": "704-283-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Branding Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155624",
            "country_code": "US",
            "telephone_number": "708-634-0950",
            "fax_number": "708-634-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIELLE",
        "middle_name": "DEPIERRO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06032",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011414",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380799",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dthomas904916@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "10620 Park Rd",
            "address_2": "Ste 202",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282108472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.