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

Individual provider Physician Assistant · NPI 1336102516

Johnnie Hamby Waataja, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Wake Forest University School of Medicine in 1989, 37 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
37
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
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

1918 Randolph Rd
Charlotte, NC 28207-1100
Phone: (704) 384-9437
Fax: (704) 384-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 411 Billingsley Rd Ste 103, Charlotte, NC 28211-1066 — (704) 577-3186

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101234 (NC)

Record details

NPI number1336102516
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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