Active NPI
Mackenzie Leigh Gosnell, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16230
- Practice address
- 10660 Park Rd Ste 3100
Charlotte, NC 28210-8420 - Phone
- (704) 863-4878
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 0010-16230 | NC | Primary |
Addresses
Primary practice location
10660 Park Rd Ste 3100
Charlotte, NC 28210-8420
Mailing address
9220 Whispering Wind Dr
Charlotte, NC 28277-2769
Phone (704) 999-0271
Other practice location 1
134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone (704) 863-4878
Other practice location 2
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 446-5185
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
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10660 Park Rd
Suite 3100
Charlotte, NC 28210-8420
Phone (704) 667-8750
134 Professional Park Dr
Rock Hill, SC 29732-1178
Phone (704) 667-4045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-16230 | NC | MD | Physician Assistant |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1851189930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 WHISPERING WIND DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772769",
"telephone_number": "704-999-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10660 PARK RD STE 3100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108420",
"telephone_number": "704-863-4878"
}
],
"practiceLocations": [
{
"address_1": "134 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321178",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-446-5185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSNELL",
"first_name": "MACKENZIE",
"middle_name": "LEIGH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.