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

Edwin Kim Marshall Jr., PA

Individual provider Physician Assistant · NPI 1871628081

Edwin Kim Marshall Jr., PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Practices with Piedmont Physician Network LLC, a 96-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
14
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
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

10650 Park Rd Ste 480
Charlotte, NC 28210-8538
Phone: (704) 667-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1225 Harding Pl, Charlotte, NC 28204-2826 — (704) 355-8850
  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-4593
  • 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 — (704) 667-2650
  • 16455 Statesville Rd, Huntersville, NC 28078-7135 — (704) 801-3011
  • 986 Wellness Way Ste 300, Fort Mill, SC 29715-7353 — (803) 930-9401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03669 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 2519 (SC)

Record details

NPI number1871628081
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Piedmont Physician Network Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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