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

Emily Katherine Wagner, PA-C

Individual provider Physician Assistant · NPI 1164254272

Emily Katherine Wagner, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Emory University School of Medicine in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying
1
Trained at
Emory University School of Medicine
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

1915 Randolph Rd Fl 3
Charlotte, NC 28207-1101
Phone: (704) 323-2543
Fax: (704) 323-3509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16381 (NC)

Record details

NPI number1164254272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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