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

Larissa Anne Kavanagh, PA

Individual provider Physician Assistant · NPI 1306256250

Larissa Anne Kavanagh, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
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

10650 Park Rd
Charlotte, NC 28210-8538
Phone: (704) 667-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-1813
  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1950

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05013 (NC)

Record details

NPI number1306256250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESJuly 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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