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

Kelly Deanne John, PA-C

Individual provider Medical Physician Assistant · NPI 1295764165

Kelly Deanne John, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2000, 26 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
26
Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
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

8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone: (704) 943-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Trotter Hills Cir, Pinehurst, NC 28374-7930 — (910) 420-1282

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12240 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9101452 (FL)

Record details

NPI number1295764165
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2006
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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