Individual provider Active NPI

Kamilla I Zeter, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1669284428
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15367 Issued in NC
Practice address
130 Providence Rd Ste 100
Charlotte, NC 28207-1247
Phone
(704) 333-9113
Fax
(975) 770-4333
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 0010-15367 NC Primary

Addresses

Primary practice location

130 Providence Rd Ste 100
Charlotte, NC 28207-1247

Mailing address

130 Providence Rd Ste 100
Charlotte, NC 28207-1247
Phone (704) 333-9113

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
I20251122001019 NC Practitioner - Physician Assistant 4385136837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Skin and Laser PAGroup PAC ID 4880608603, 4 clinicians

Practice addresses (Care Compare)

130 Providence Rd
Suite 100
Charlotte, NC 28207-1247
Phone (704) 333-9113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-15367NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Skin & Laser, P.a. CurrentSince Aug 25, 2025 Accepting new patients

Locations

130 Providence Rd
Ste 100
Charlotte, NC 28207
Phone (704) 333-9113

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.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1669284428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PROVIDENCE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071247",
            "telephone_number": "704-333-9113",
            "fax_number": "704-333-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PROVIDENCE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071247",
            "telephone_number": "704-333-9113",
            "fax_number": "975-770-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETER",
        "first_name": "KAMILLA",
        "middle_name": "I",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.