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

Kassandra Jean Bennett, PA

Individual provider Physician Assistant · NPI 1346791019

Kassandra Jean Bennett, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2016, 10 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
10
Licensed in
NC
In the registry since
2016
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

10628 Park Rd
Charlotte, NC 28210-8407
Phone: (704) 667-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 2001 Vail Ave, Charlotte, NC 28207-1248 — (704) 304-6070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241
  • 920 Church St N, Concord, NC 28025-2927 — (704) 403-1331

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 0010-09047 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-09047 (NC)

Record details

NPI number1346791019
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2016
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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