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

Jim Roy Lup, PA

Individual provider Physician Assistant · NPI 1912125816

Jim Roy Lup, PA is a Physician Assistant in Charlotte, North Carolina. Licensed in Florida and North Carolina. Registered with an NPI since 2007.

Licensed in
FL, NC
In the registry since
2007
Specialties on file
2
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

1021 Morehead Medical Dr Ste A
Charlotte, NC 28204-2990
Phone: (704) 355-2884
Fax: (704) 355-5800
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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 0010-04274 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA9102260 (FL)

Record details

NPI number1912125816
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 20, 2014

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