Individual provider Active NPI

Mayla Fung Chung, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1699386797
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10887 Issued in NC
Practice address
16817 Marvin Rd
Charlotte, NC 28277-2196
Phone
(704) 495-6334
NPI assigned
Aug 12, 2020
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 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 0010-10887 NC Primary

Addresses

Primary practice location

16817 Marvin Rd
Charlotte, NC 28277-2196

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

2544 Court Dr Ste G
Gastonia, NC 28054-3450
Phone (828) 328-3300

Other practice location 2

6060 Piedmont Row Dr S Fl 10
Charlotte, NC 28287-3893
Phone (704) 495-6334

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
I20210329000500 NC Practitioner - Physician Assistant 7719394345 Reassigns benefits to 2 organizations
Practice locations: Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

2544 Court Dr
Gastonia, NC 28054-3450

6060 Piedmont Row Dr S
Charlotte, NC 28287-2800
Phone (704) 495-6334

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10887NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince May 9, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince May 9, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince May 9, 2025 Accepting new patients
Tryon Medical Partners, PLLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28287
Phone (704) 489-3094

2544 Court Dr
Ste G
Gastonia, NC 28054
Phone (704) 854-9990

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Interoperability endpoints

  • Direct secure messaging: mayla.chung.1@17847.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1699386797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16817 MARVIN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772196",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2544 Court Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280543450",
            "country_code": "US",
            "telephone_number": "828-328-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6060 Piedmont Row Dr S Fl 10",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282873893",
            "country_code": "US",
            "telephone_number": "704-495-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MAYLA",
        "middle_name": "FUNG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.