NPIMap

Individual provider Active NPI

Paul Patrick Delaney, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1255872487
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07141 Issued in NC
Practice address
11530 Providence Rd Ste 1300
Charlotte, NC 28277-2691
Phone
(704) 863-4878
NPI assigned
Mar 20, 2017
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 0010-07141 NC Primary

Addresses

Primary practice location

11530 Providence Rd Ste 1300
Charlotte, NC 28277-2691

Mailing address

11530 Providence Rd Ste 1300
Charlotte, NC 28277-2691
Phone (704) 863-4878

Other practice location 1

330 Billingsley Rd Ste 202
Charlotte, NC 28211-5020
Phone (704) 316-3070

Other practice location 2

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606003194 NC Practitioner - Physician Assistant 4082981451 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07141NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jun 1, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Aug 24, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 10, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 10, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Aug 24, 2020 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

11530 Providence Rd
Ste 1300
Charlotte, NC 28277
Phone (704) 667-0780

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

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

Interoperability endpoints

  • Direct secure messaging: pdelaney1108600@direct.novanthealth.org

Organizations & group practices 10

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1255872487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 PROVIDENCE RD STE 1300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772691",
            "telephone_number": "704-863-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 PROVIDENCE RD STE 1300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772691",
            "telephone_number": "704-863-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Billingsley Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115020",
            "country_code": "US",
            "telephone_number": "704-316-3070",
            "fax_number": "704-316-3071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "PAUL",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.