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

Andrea Rose Corpus

Individual provider Physician Assistant · NPI 1184236226

Andrea Rose Corpus is a Physician Assistant in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Soul Care, PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

5501 Executive Center Dr Ste 215
Charlotte, NC 28212-8823
Phone: (980) 613-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10924 (NC)

Record details

NPI number1184236226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2020
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Soul Care, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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