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

Lauren Nicole Bump, PA

Individual provider Physician Assistant · NPI 1265190276

Lauren Nicole Bump, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Piedmont Plastic Surgery and Dermatology PA, a 57-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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

12611 N Community House Rd Ste 102
Charlotte, NC 28277-3817
Phone: (704) 544-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13391 (NC)

Record details

NPI number1265190276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Piedmont Plastic Surgery And Dermatology Pa — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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