Johanna Elizabeth Hughes Mencel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-04958 Issued in NC

Practice address

7903 Providence Rd Ste 100
Charlotte, NC 28277-9763

Phone

(704) 316-4460

Fax

(704) 316-4466

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1427280650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-3410",
            "fax_number": "704-512-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 PROVIDENCE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779763",
            "telephone_number": "704-316-4460",
            "fax_number": "704-316-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 N. Trade Street",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056887",
            "country_code": "US",
            "telephone_number": "704-512-6850",
            "fax_number": "704-512-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 N. Trade Street",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056887",
            "country_code": "US",
            "telephone_number": "704-512-6850",
            "fax_number": "704-512-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12611 N Community House Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773817",
            "country_code": "US",
            "telephone_number": "704-316-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENCEL",
        "first_name": "JOHANNA",
        "middle_name": "ELIZABETH HUGHES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2751PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427280650",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL LICENSE",
            "identifier": "0010-04958",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmencel511177@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "332 N. Trade Street",
            "address_2": "Suite 1100",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281056887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mema SC LLC
• Britta Memmesheimer
• Poojitha Malli Goud Memula, PA
• Scott Menaker, DDS
• Chelsea Menard, MA SSP
• Patricia Mencel, APRN
• Mended Counseling & Consultation
• David R Mendelsohn, MD
• Margaret Mendenhall Shirley, LCSW
• Ashlyn Raquel Mendez, BCBA

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.