Individual provider Active NPI

Adrienne Maung Denenberg, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1902682883
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16504 Issued in NC
Practice address
8645 Rachel Freeman Way
Charlotte, NC 28278-9567
Phone
(704) 316-3608
Fax
(704) 316-3609
NPI assigned
Sep 6, 2023
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 0010-16504 NC Primary

Addresses

Primary practice location

8645 Rachel Freeman Way
Charlotte, NC 28278-9567

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3608

Other practice location 1

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Other practice location 2

10640 Satori Ln Apt 327
Jacksonville, FL 32256-8093
Phone (910) 728-7651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240125001965 FL Practitioner - Physician Assistant 9638522790 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrienne.denenberg@265489250582532.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1902682883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 RACHEL FREEMAN WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282789567",
            "telephone_number": "704-316-3608",
            "fax_number": "704-316-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10810 Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282629786",
            "country_code": "US",
            "telephone_number": "704-510-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10640 Satori Ln Apt 327",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322568093",
            "country_code": "US",
            "telephone_number": "910-728-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENENBERG",
        "first_name": "ADRIENNE",
        "middle_name": "MAUNG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.