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

Individual provider Physician Assistant · NPI 1063727212

Jessica Danyel Cockerham, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2010, 16 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2010
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

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-9414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-8840
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1422
  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-3664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02326 (NC)

Record details

NPI number1063727212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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