Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Nicole Badger-Reyes, PA

Individual provider Physician Assistant · NPI 1699060111

Jillian Nicole Badger-Reyes, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations and accepts Medicare assignment. 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

5970 Fairview Rd Ste 430
Charlotte, NC 28210-3117
Phone: (979) 450-9820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10628 Park Rd, Charlotte, NC 28210-8407 — (979) 450-9820

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09399 (NC)

Record details

NPI number1699060111
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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
Practice locations2 on file with Medicare

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