Individual provider Active NPI

Rebecca Lee Strunk-Lail, PA-C

  • Medical Physician Assistant
  • Charlotte, NC
National Provider Identifier
1306232079
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-05677 Issued in NC
Practice address
1211 N. Community House Rd
Charlotte, NC 28277
Phone
(704) 544-8200
Fax
(704) 544-8300
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-05677 NC Primary

Addresses

Primary practice location

1211 N. Community House Rd
Charlotte, NC 28277

Mailing address

914 E 35TH St
Charlotte, NC 28205-1611
Phone (434) 774-4144

Other practice location 1

3006 Baucom Rd
Suite 100
Charlotte, NC 28269-6762
Phone (704) 596-1787

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
I20181108001656 NC Practitioner - Physician Assistant 8022329317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians
Steelecreek Dermatology, PLLCGroup PAC ID 2466698923, 4 clinicians

Practice addresses (Care Compare)

10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926

11040 S Tryon St
Suite 203
Charlotte, NC 28273-4616
Phone (704) 771-1161

11040 S Tryon St
Suite 203
Charlotte, NC 28273-7152
Phone (704) 587-3200

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-05677NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

10502 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 541-9092

11040 S Tryon St
Ste 203
Charlotte, NC 28273
Phone (704) 587-3200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1306232079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E 35TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051611",
            "telephone_number": "434-774-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N. COMMUNITY HOUSE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-544-8200",
            "fax_number": "704-544-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Baucom Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282696762",
            "country_code": "US",
            "telephone_number": "704-596-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUNK-LAIL",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.