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

Jennifer Lynn Gonzales, PA

Individual provider Physician Assistant · NPI 1407132178

Jennifer Lynn Gonzales, PA is a Physician Assistant in Waxhaw, North Carolina. Qualified in 2011, 15 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
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

2700 S Providence Rd Ste 300
Waxhaw, NC 28173-6313
Phone: (704) 243-2254
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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 0010-06647 (NC)

Record details

NPI number1407132178
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2011
Last updated in NPPESJuly 15, 2024
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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