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

Keely Reichel Gerrald, PA

Individual provider Physician Assistant · NPI 1962858399

Keely Reichel Gerrald, 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 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10650 Park Rd
Charlotte, NC 28210-8538
Phone: (704) 667-3840
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10207 (NC)

Record details

NPI number1962858399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESJuly 17, 2024
Certification dateAugust 18, 2020

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

Other providers in Charlotte