Individual provider Active NPI

Dionne Asantewaa Agyemang, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1033860788
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14277 Issued in NC
Practice address
2540 W Arrowood Rd Ste 110
Charlotte, NC 28273-6198
Phone
(704) 588-9997
NPI assigned
Jan 14, 2022
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6193 SC
Physician Assistant 363A00000X 0010-14277 NC Primary

Addresses

Primary practice location

2540 W Arrowood Rd Ste 110
Charlotte, NC 28273-6198

Mailing address

7613 Woodknoll Dr
Charlotte, NC 28217-7982
Phone (704) 957-8255

Other practice location 1

1029 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 285-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6193SCMDPharmacist
0010-14277NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Cardiology Associates LLC Single Specialty PastSince Oct 25, 2025 Accepting new patients
Alfa Medical Clinic, PA Single Specialty PastSince May 15, 2006 Accepting new patients
Carolina Heart Specialists LLC Single Specialty PastSince Jul 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1033860788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 WOODKNOLL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282177982",
            "telephone_number": "704-957-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W ARROWOOD RD STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736198",
            "telephone_number": "704-588-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 W Meeting St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202205",
            "country_code": "US",
            "telephone_number": "803-285-2041",
            "fax_number": "803-285-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "DIONNE",
        "middle_name": "ASANTEWAA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "6193",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.