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

Jamie Lynn Raymond, PA

Individual provider Physician Assistant · NPI 1164694162

Jamie Lynn Raymond, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2007, 19 years ago. Practices with Southeast Radiation Oncology Group, PA, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2008
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

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 — (980) 442-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06047 (NC)

Record details

NPI number1164694162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 31, 2008
Last updated in NPPESJuly 15, 2024
Certification dateApril 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southeast Radiation Oncology Group, P.A. — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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