Active NPI
Haibo Cheng, PA-C
- Physician Assistant
- Clinton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.08 of 100
- Quality
- 81.28
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-12581 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Dermatology,PA | Current | Accepting new patients | |
| Atlantic Dermatology, PA | Past | 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
- hcheng@metrolinadermatology.emadirect.md
- 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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1619400033
-
- Specialist
- Raleigh, NC
- NPI 1568415586
-
- Dermatology Physician
- Charlotte, NC
- NPI 1265477251
-
- Specialist
- Conway, SC
- NPI 1720225501
-
- Dermatology Physician
- Wilmington, NC
- NPI 1871043109
-
- Dermatology Physician
- Hunt Valley, MD
- NPI 1083200794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.