Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Lillian Hallock, PA-C

Individual provider Physician Assistant · NPI 1407545890

Anna Lillian Hallock, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4741 Randolph Rd Ste 100&200
Charlotte, NC 28211-2919
Phone: (704) 365-6730
Fax: (704) 365-6731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 E Wilson St, Wingate, NC 28174-9664 — (704) 233-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14039 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1407545890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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