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

Emil Peter Occhiboi, PA-C, ATC

Individual provider Athletic Trainer · NPI 1003206434

Emil Peter Occhiboi, PA-C, ATC is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Connecticut and North Carolina.

Years since qualifying
8
Licensed in
CT, NC
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4741 Randolph Rd Ste 100&200
Charlotte, NC 28211-2919
Phone: (704) 365-6730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 11 Industrial Park Road, Niantic, CT 06357 — (860) 889-7345
  • 82 New Park Ave, North Franklin, CT 06254-1807 — (860) 889-7345
  • 326 Washington Street, Norwich, CT 06360-2740 — (860) 889-8331
  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-5416

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08548 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence 000907 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 23.004688 (CT)

Record details

NPI number1003206434
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 6, 2025
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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