Individual provider Active NPI

Noreen Claire Graveline, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1699122390
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14058 Issued in NC
Practice address
1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone
(704) 446-1900
NPI assigned
May 23, 2016
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14058 NC Primary
Physician Assistant 363A00000X 53869 CA

Addresses

Primary practice location

1010 Edgehill Rd N
Charlotte, NC 28207-1885

Mailing address

1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone (704) 446-1900

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
I20241016004218 NC Practitioner - Physician Assistant 7315223955 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

1908 E Franklin Blvd
Suite 100
Gastonia, NC 28054-4742
Phone (704) 271-1215

210 Turnersburg Hwy
Suite C
Statesville, NC 28625-2797
Phone (704) 924-4740

314 Blowing Rock Blvd
Lenoir, NC 28645-4406
Phone (828) 237-2287

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53869CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SC Medical, Inc. CurrentSince May 14, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2024 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Physician Assistant Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Dec 2, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Dec 2, 2024 Accepting new patients

Locations

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

27550 Newhall Ranch Rd
Ste 203
Valencia, CA 91355
Phone (661) 251-6300

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1699122390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-446-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EDGEHILL RD N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071885",
            "telephone_number": "704-446-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVELINE",
        "first_name": "NOREEN",
        "middle_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14058",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.