NPIMap

Individual provider Active NPI

Amy Janina Fernandez-Osborne, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1245821586
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001012194 Issued in NC
Practice address
10650 Park Rd Ste 220
Charlotte, NC 28210-8542
Phone
(704) 667-3840
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 4226 SC
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 001012194 NC Primary

Addresses

Primary practice location

10650 Park Rd Ste 220
Charlotte, NC 28210-8542

Mailing address

10650 Park Rd Ste 220
Charlotte, NC 28210-8542
Phone (704) 667-3840

Other names 1

  • Ms. Amy Janina Fernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241017004102 SC Practitioner - Physician Assistant 0941732754 Reassigns benefits to 1 organization
I20241023000640 NC Practitioner - Physician Assistant 0941732754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

10650 Park Rd
Charlotte, NC 28210-8538
Phone (704) 667-3840

10650 Park Rd
Suite 300
Charlotte, NC 28210-8543
Phone (704) 667-3960

134 Medical Park Rd
Suite 111
Mooresville, NC 28117-8527
Phone (704) 801-9100

15110 John J Delaney Dr
Suite 200
Charlotte, NC 28277-3545
Phone (704) 377-9323

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4226SCMDEndodontist
4266SCMDGeneral Practice Dentistry
001012194NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Aug 5, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 5, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 5, 2024 Accepting new patients

Locations

10650 Park Rd
Ste 220
Charlotte, NC 28210
Phone (704) 667-3840

100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

Interoperability endpoints

  • Direct secure messaging: afernandez817332@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

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 9

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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1245821586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 PARK RD STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108542",
            "telephone_number": "704-667-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 PARK RD STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108542",
            "telephone_number": "704-667-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-OSBORNE",
        "first_name": "AMY",
        "middle_name": "JANINA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4226",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FERNANDEZ",
            "middle_name": "JANINA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.