Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Dewolf, PA-C

Individual provider Physician Assistant · NPI 1972969970

Jeremy Dewolf, PA-C is a Physician Assistant in Concord, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2015, 11 years ago. Practices with Charlotte Eye Ear Nose and Throat Associates PA, a 168-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
Trained at
Brody School of Medicine at East Carolina University
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

645 Amalia St NE
Concord, NC 28025-2434
Phone: (704) 295-3255
Fax: (704) 295-7791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Corporate Cir, Salisbury, NC 28147-8074 — (704) 637-0158

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06156

Record details

NPI number1972969970
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Charlotte Eye Ear Nose And Throat Associates Pa — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Concord