Individual provider Active NPI

Benjamin Leonard Linchuck

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1093379471
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09136 Issued in NC
Practice address
1918 Randolph Rd Ste 130
Charlotte, NC 28207-1107
Phone
(704) 316-6005
Fax
(704) 316-6006
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 0010-09136 NC
Physician Assistant 363A00000X 0010-09136 NC Primary

Addresses

Primary practice location

1918 Randolph Rd Ste 130
Charlotte, NC 28207-1107

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1201 Central Ave Apt 549
Charlotte, NC 28204-2697
Phone (607) 738-8245

Other practice location 2

449 N Wendover Rd Ste A
Charlotte, NC 28211-1064
Phone (704) 316-6005

Other identifiers 1

IdentifierTypeStateIssuer
0010-09136OtherNCNORTH CAROLINA MEDICAL BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blinchuck731196@direct.novanthealth.org

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
I20190829000284 NC Practitioner - Physician Assistant 5395073365 Reassigns benefits to 1 organization

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
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

4741 Randolph Rd
Suite 100
Charlotte, NC 28211-2919
Phone (704) 365-6730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09136NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jul 29, 2019 Accepting new patients
Novant Medical Group, Inc CurrentSince Jul 29, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

2826 Randolph Rd
Ste 100
Charlotte, NC 28211

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

449 N Wendover Rd
#A
Charlotte, NC 28211
Phone (704) 316-6005

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: blinchuck731196@direct.novanthealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1093379471",
    "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": "1918 RANDOLPH RD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071107",
            "telephone_number": "704-316-6005",
            "fax_number": "704-316-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Central Ave Apt 549",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042697",
            "country_code": "US",
            "telephone_number": "607-738-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "449 N Wendover Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111064",
            "country_code": "US",
            "telephone_number": "704-316-6005",
            "fax_number": "704-316-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINCHUCK",
        "first_name": "BENJAMIN",
        "middle_name": "LEONARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NC",
            "license": "0010-09136",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "0010-09136",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blinchuck731196@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1201 Central Ave Apt 549",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.