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

Jonathan Lee Faggart, PA

Individual provider Physician Assistant · NPI 1538305073

Jonathan Lee Faggart, PA is a Physician Assistant in Concord, North Carolina. Qualified in 2008, 18 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2009
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

354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone: (704) 323-2000
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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 0010-01663 (NC)

Record details

NPI number1538305073
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESApril 17, 2023
Certification dateApril 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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