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

Individual provider Physician Assistant · NPI 1386141638

Ansley Gardner Broach, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
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

1021 Morehead Medical Dr Ste A
Charlotte, NC 28204-2990
Phone: (980) 442-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 945 N 5th St, Albemarle, NC 28001-3417 — (980) 323-7790
  • 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 — (704) 302-8300
  • 100 Medical Park Dr, Concord, NC 28025-2948 — (704) 403-1370
  • 1550 Faulk St, Monroe, NC 28112-5086 — (980) 442-0430

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09576 (NC)

Record details

NPI number1386141638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJuly 15, 2024
Certification dateMarch 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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