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

Jonathan Byron Lively, PA

Individual provider Physician Assistant · NPI 1598371320

Jonathan Byron Lively, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
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

1426 E Morehead St
Charlotte, NC 28204-2926
Phone: (704) 446-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 — (704) 563-2150
  • 10210 Couloak Dr, Charlotte, NC 28216-7679 — (704) 801-2000
  • 7810 Providence Rd, Charlotte, NC 28226-2954 — (704) 543-6636
  • 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2206 — (704) 863-9930

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10599 (NC)

Record details

NPI number1598371320
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESJuly 15, 2024
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 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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