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

Individual provider Physician Assistant · NPI 1861754178

Bethany Marie Grubb, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2012
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

128 E Park Ave Ste A
Charlotte, NC 28203-3720
Phone: (704) 750-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 2001 Vail Ave, Charlotte, NC 28207-1248 — (704) 304-6070
  • 10628 Park Rd, Charlotte, NC 28210-8407 — (704) 667-7070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241
  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-1331

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03542 (NC)

Record details

NPI number1861754178
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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