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

Kenneth A Anderson Jr., PA-C

Individual provider Physician Assistant · NPI 1992351662

Kenneth A Anderson Jr., PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 2020, 6 years ago. Practices with Charlotte Radiology PA, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware and North Carolina.

Years since qualifying
6
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
DE, NC
In the registry since
2019
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

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone: (704) 334-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 S State St, Dover, DE 19901-3530 — (302) 744-6156

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12054 (NC)
Physician Assistant Taxonomy 363A00000X · Licence C5-0011442 (DE)

Record details

NPI number1992351662
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2019
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Charlotte Radiology Pa — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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