Individual provider Active NPI

Paul Everette Neagle, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1376592899
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05913 Issued in NC
Practice address
11024 Jordan Rae LN
Charlotte, NC 28277-0197
Phone
(240) 994-3639
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 0010-05913 NC Primary

Addresses

Primary practice location

11024 Jordan Rae LN
Charlotte, NC 28277-0197

Mailing address

11024 Jordan Rae LN
Charlotte, NC 28277-0197
Phone (240) 994-3639

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
I20151116000312 NC Practitioner - Physician Assistant 3577581883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

14001 E Independence Blvd
Suite C
Indian Trail, NC 28079-9658
Phone (704) 247-6598

14221 Boren St
Huntersville, NC 28078-6507
Phone (980) 306-5911

16704 Hawfield Way Dr
Charlotte, NC 28277-6132
Phone (704) 337-0221

1908 E Franklin Blvd
Suite 100
Gastonia, NC 28054-4742
Phone (704) 271-1215

210 Turnersburg Hwy
Suite C
Statesville, NC 28625-2797
Phone (704) 924-4740

295 Williamson Rd
Suite a
Mooresville, NC 28117-8269
Phone (980) 444-2003

314 Blowing Rock Blvd
Lenoir, NC 28645-4406
Phone (828) 237-2287

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2701CTMDProfessional Counselor
0010-05913NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Urgent Care of the Carolinas Physician Assistant CurrentSince Mar 11, 2025 Accepting new patients
Mep of Bristol, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1376592899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 JORDAN RAE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770197",
            "telephone_number": "240-994-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 JORDAN RAE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770197",
            "telephone_number": "240-994-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAGLE",
        "first_name": "PAUL",
        "middle_name": "EVERETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.