Individual provider Active NPI

Haibo Cheng, PA-C

  • Physician Assistant
  • Clinton, NC
National Provider Identifier
1497488241
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12581 Issued in NC
Practice address
417 Vance St FL 2
Clinton, NC 28328-4001
Phone
(910) 251-9944
Fax
(910) 763-4666
NPI assigned
Jul 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 0010-12581 NC Primary

Addresses

Primary practice location

417 Vance St FL 2
Clinton, NC 28328-4001

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

2630 E 7th St Ste 200
Charlotte, NC 28204-4319
Phone (704) 364-6110

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
I20230303001163 NC Practitioner - Physician Assistant 2961875463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2022
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
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

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

2630 E 7TH St
Suite 200
Charlotte, NC 28204-4319
Phone (704) 364-6110

417 Vance St
FL 2
Clinton, NC 28328-4001
Phone (910) 251-9944

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

8814 Rachel Freeman Way
Suite 101
Charlotte, NC 28278-9570
Phone (704) 364-6110

9550 Rocky River Rd
Suite 200
Charlotte, NC 28215-9526
Phone (704) 364-6110

Hospital & facility affiliations

  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-12581NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Dermatology,PA CurrentSince Nov 10, 2022 Accepting new patients
Atlantic Dermatology, PA PastSince Aug 3, 2025 Accepting new patients
Anne Arundel Dermatology Affiliates PC Past Accepting new patients

Locations

8814 Rachel Freeman Way
Ste 101
Charlotte, NC 28278

9550 Rocky River Rd
Ste 200
Charlotte, NC 28215

2630 E 7th St
Ste 200
Charlotte, NC 28204
Phone (704) 927-6166

Interoperability endpoints

  • Direct secure messaging: hcheng@metrolinadermatology.emadirect.md
  • Direct secure messaging: haibo1@charlottederm.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1497488241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 VANCE ST FL 2",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284001",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 E 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282044319",
            "country_code": "US",
            "telephone_number": "704-364-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "HAIBO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.