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

Emily Nicole Thomson

Individual provider Physician Assistant · NPI 1063099844

Emily Nicole Thomson is a Physician Assistant in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Pediatric and Family Behavioral Health Acquisition Group PLLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and North Carolina.

Years since qualifying
5
Licensed in
IN, NC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

10420 Park Rd Ste 300
Charlotte, NC 28210-8502
Phone: (980) 237-4766
Fax: (980) 237-4766
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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 0010-12795 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 10003441A (IN)

Record details

NPI number1063099844
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pediatric And Family Behavioral Health Acquisition Group Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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