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

Individual provider Surgical Physician Assistant · NPI 1336373257

Brent Charles Deatherage, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2008, 18 years ago. Practices with American Current Care PA, a 549-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
18
Licensed in
FL, NC
In the registry since
2009
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

1900 Randolph Rd Ste 900
Charlotte, NC 28207-1122
Phone: (704) 377-2424
Fax: (704) 377-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-03428 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9104956 (FL)

Record details

NPI number1336373257
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 6, 2009
Last updated in NPPESAugust 10, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice American Current Care Pa — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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