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

Amanda Michelle Penegar, PA

Individual provider Physician Assistant · NPI 1962809160

Amanda Michelle Penegar, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with Atrium Health Specialty Network Inc, a 246-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10650 Park Rd Ste 480
Charlotte, NC 28210-8538
Phone: (704) 667-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1225 Harding Pl, Charlotte, NC 28204-2826 — (704) 355-8850
  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-4593
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-8860
  • 16455 Statesville Rd, Huntersville, NC 28078-7135 — (704) 801-3011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05222 (NC)

Record details

NPI number1962809160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2014
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Atrium Health Specialty Network Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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