Active NPI
Justin Bilancia, PA
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2026008856
- Practice address
- 1350 S Kings Dr
Charlotte, NC 28207-2134 - Phone
- (704) 446-4490
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9361 | MA | |
| Physician Assistant | 363A00000X | 2026008856 | MO | Primary |
| Physician Assistant | 363A00000X | 0010-05245 | NC | |
| Physician Assistant | 363A00000X | MA063564 | PA |
Addresses
Primary practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 443-7552
Other practice location 2
1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 355-5100
Other practice location 3
1437 Scott Ave
Charlotte, NC 28203-5843
Phone (704) 446-5860
Other practice location 4
1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Phone (704) 384-9900
Other practice location 5
119 Belmont St
Worcester, MA 01605-2903
Phone (774) 443-7552
Other practice location 6
10650 Park Rd
Suite 300
Charlotte, NC 28210-8538
Phone (704) 667-3960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104054970-0004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA, PA, MA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9361 | MA | MD | Physician Assistant |
| 2026008856 | MO | MD | Physician Assistant |
| 0010-05245 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Fayette Physician Network Inc | Physician Assistant | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| East Carolina University | Past | Accepting new patients | |
| Fayette Physician Network Inc | Past | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113
115 Heart Dr
Greenville, NC 27834
Phone (252) 744-4400
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
2100 Mack Blvd
Fl 4
Allentown, PA 18103
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
772 E Broad St
Hazleton, PA 18201
Phone (570) 501-1242
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
Interoperability endpoints
- jbilancia96517@tuftsmedicine.direct-ci.com
- jbilancia1534214@direct.novanthealth.org
Organizations & group practices 21
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1457853079
-
dba Onslow Memorial Hospital
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Bariatric Solutions
- Obesity Medicine (Internal Medicine) Physician
- Kernersville, NC
- NPI 1609120492
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
dba ECU Health Medical Center
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1386661940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072134",
"telephone_number": "704-446-4490"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-443-7552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-355-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1437 Scott Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035843",
"country_code": "US",
"telephone_number": "704-446-5860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1918 Randolph Rd Ste 580",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071116",
"country_code": "US",
"telephone_number": "704-384-9900",
"fax_number": "704-384-9919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "774-443-7552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10650 Park Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-667-3960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILANCIA",
"first_name": "JUSTIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA9361",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2026008856",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05245",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA063564",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104054970-0004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.