Active NPI
Amanda Joanne Piligian, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1457799934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001011045
- Practice address
- 6817 Fairview Rd
Charlotte, NC 28210-3484 - Phone
- (704) 323-5090
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- 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 | PA031484 | DC | |
| Physician Assistant | 363A00000X | MA | ||
| Medical Physician Assistant | 363AM0700X | C5-0001001 | DE | |
| Physician Assistant | 363A00000X | 001011045 | NC | Primary |
Addresses
Primary practice location
6817 Fairview Rd
Charlotte, NC 28210-3484
Mailing address
6817 Fairview Rd
Charlotte, NC 28210-3484
Phone (704) 323-5090
Other names 1
- Amanda Joanne Kalk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001011045 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1619348349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1457799934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103484",
"telephone_number": "704-323-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103484",
"telephone_number": "704-323-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILIGIAN",
"first_name": "AMANDA",
"middle_name": "JOANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031484",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DE",
"license": "C5-0001001",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001011045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "KALK",
"middle_name": "JOANNE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.