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

Individual provider Physician Assistant · NPI 1083460927

Emily Grace Wise, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Stephen J Nicholas MD PC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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

201 S College St Fl 12
Charlotte, NC 28244-0002
Phone: (704) 489-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2820 Forest Dr, Charlotte, NC 28211-2116 — (704) 351-1398

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15122 (NC)

Record details

NPI number1083460927
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stephen J Nicholas Md Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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