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

Jahaziel Rendon, PA

Individual provider Physician Assistant · NPI 1336771666

Jahaziel Rendon, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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

1237 Harding Pl Ste 3100
Charlotte, NC 28204
Phone: (704) 373-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09856 (NC)

Record details

NPI number1336771666
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESJanuary 6, 2022
Certification dateApril 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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