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

Derek John Buchanan, PA

Individual provider Physician Assistant · NPI 1104379502

Derek John Buchanan, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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

501 Billingsley Rd Ste B
Charlotte, NC 28211-1009
Phone: (704) 444-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 16740 Davidson Concord Rd, Davidson, NC 28036-8746 — (704) 444-2400
  • 5427 Nc Highway 49 S, Harrisburg, NC 28075-7408 — (704) 454-7268
  • 706 W King St, Kings Mountain, NC 28086-2708 — (980) 487-5470

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06592 (NC)

Record details

NPI number1104379502
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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