Individual provider Active NPI

Mariagracia Lucia Rojas, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1013699636
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13418 Issued in NC
Practice address
3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122
Phone
(704) 333-0465
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13418 NC Primary

Addresses

Primary practice location

3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122

Mailing address

2703 Parkway Ave
Charlotte, NC 28208-3967
Phone (571) 499-7816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206002051 NC Practitioner - Other (Non-Physician) 4587143854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3641 Central Ave
Charlotte, NC 28205-5661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-13418NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Latino, PC CurrentSince Jan 22, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

3641 Central Ave
Charlotte, NC 28205
Phone (704) 333-0465

3541 Randolph Rd
Ste 303
Charlotte, NC 28211
Phone (704) 333-0463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDGADD/Endpoint/BDGADD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1013699636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 PARKWAY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083967",
            "telephone_number": "571-499-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD STE 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115122",
            "telephone_number": "704-333-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "MARIAGRACIA",
        "middle_name": "LUCIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.