Juanita Arredondo, PA-C
Individual provider Active NPI Physician Assistant · Charlotte, NC
NPI 1295666337 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1295666337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-16608 (NC)
- Practice address
- 4601 Park Rd Ste 300
Charlotte, NC 28209-2290 - Phone
- (704) 323-3820
- Fax
- (704) 945-7681
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-16608 | NC | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16608 | NC | Yes |
Addresses
Primary practice location
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2131
Other providers in Charlotte, NC
- Chetan Arora
- Around the Clock Home Care
- Arpita Patel, DMD, PA
- Michael Steven Arrandt
- Janet Arrazcaeta
- Jodi Ann Arreguin
- Elaine Frances Arrington
- Karen Arrington
- Nora Maria Arronte
- Alma Cristina Arroyo Cruz
All providers in Charlotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.