Individual provider Active NPI

Alyssa Rose Van Meter, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1073085593
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11362 Issued in NC
Practice address
445 S Kings Dr
Charlotte, NC 28204-3041
Phone
(980) 308-0141
Fax
(980) 308-0140
NPI assigned
Dec 21, 2018
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 0010-11362 NC Primary
Medical Physician Assistant 363AM0700X 023592 NY

Addresses

Primary practice location

445 S Kings Dr
Charlotte, NC 28204-3041

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

181 Lomb Memorial Dr
Rochester, NY 14623
Phone (585) 922-3100

Other practice location 2

181 Lomb Memorial Dr
Rochester, NY 14623
Phone (585) 922-3100

Other practice location 3

316 W Main St
Rockwell, NC 28138-8471
Phone (704) 279-1046

Other practice location 4

1965 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-8338

Other names 1

  • Alyssa Ratajczak Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221001619 NC Practitioner - Physician Assistant 5799012571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

114 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

116 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4821
Phone (704) 384-7976

1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411

17078 Nat Bynum LN
Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975

179 Williamson Rd
Mooresville, NC 28117-6831
Phone (704) 324-3986

185 Williamson Rd
Mooresville, NC 28117-6831
Phone (844) 266-8268

3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-11362NCMDPhysician Assistant
023592NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Dec 31, 2021 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Jan 11, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 31, 2021 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Jan 11, 2024 Accepting new patients
Carolina Medicorp Enterprises Inc Physician Assistant Past Accepting new patients
Carolina Medicorp Enterprises, LLC Past Accepting new patients
Carolina Medicorp Enterprises, LLC Past Accepting new patients

Locations (25 of 33)

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

1965 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

17078 Nat Bynum Ln
Unit 3
Cornelius, NC 28031
Phone (704) 324-3975

1600 Highwoods Blvd
Greensboro, NC 27410
Phone (336) 765-5350

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

11300 Cresthill Dr
Ste 120
Mint Hill, NC 28227
Phone (704) 438-9479

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, 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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1073085593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S KINGS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043041",
            "telephone_number": "980-308-0141",
            "fax_number": "980-308-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Lomb Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14623",
            "country_code": "US",
            "telephone_number": "585-922-3100",
            "fax_number": "585-922-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Lomb Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14623",
            "country_code": "US",
            "telephone_number": "585-922-3100",
            "fax_number": "585-922-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rockwell",
            "state": "NC",
            "postal_code": "281388471",
            "country_code": "US",
            "telephone_number": "704-279-1046",
            "fax_number": "704-279-1603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1965 S US 29 Hwy",
            "address_purpose": "LOCATION",
            "city": "China Grove",
            "state": "NC",
            "postal_code": "280235684",
            "country_code": "US",
            "telephone_number": "704-855-8338",
            "fax_number": "704-855-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "ALYSSA",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11362",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "RATAJCZAK",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.