Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Family Practice Associates PA

Organization Family Medicine Physician · NPI 1528090388

Providence Family Practice Associates PA is a Family Medicine Physician in Lowell, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1043 Marguerite Dr
Lowell, NC 28098
Phone: (704) 478-6169
Fax: (704) 478-6169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9501625 (NC)

Record details

NPI number1528090388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tilda Jones — Practice Manager · (704) 478-6169
NPI enumeratedJuly 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1043 Marguerite Drive, Lowell, NC 28098