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

Jason Alexander Willis, PA

Individual provider Physician Assistant · NPI 1437574084

Jason Alexander Willis, PA is a Physician Assistant in Charlotte, North Carolina. Works from 5 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 — (704) 355-4300
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-2000
  • 201 E Grover St, Shelby, NC 28150-3917 — (980) 487-3000
  • 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 — (704) 994-4500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04843 (NC)

Record details

NPI number1437574084
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2014
Last updated in NPPESSeptember 25, 2025
Certification dateAugust 29, 2024

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