Individual provider Active NPI

Charlotte R Woolstenhulme, PA-C

  • Physician Assistant
  • Denver, NC
National Provider Identifier
1811718232
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12641 Issued in GA
Practice address
635 N NC 16 Business Hwy
Denver, NC 28037-7574
Phone
(704) 489-8401
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 12641 GA Primary

Addresses

Primary practice location

635 N NC 16 Business Hwy
Denver, NC 28037-7574

Mailing address

635 N NC 16 Business Hwy
Denver, NC 28037-7574
Phone (704) 489-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1007 39TH Ave SE
Puyallup, WA 98374-2192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12641GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Pediatric Center, P.a. PastSince Oct 20, 2024 Accepting new patients

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1811718232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377574",
            "telephone_number": "704-489-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377574",
            "telephone_number": "704-489-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSTENHULME",
        "first_name": "CHARLOTTE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.