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

Leigh Diane Roth, PA-C

Individual provider Physician Assistant · NPI 1770772865

Leigh Diane Roth, PA-C is a Physician Assistant in Hickory, North Carolina. Qualified in 2007, 19 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment. Licensed in Illinois, Minnesota and North Carolina.

Years since qualifying
19
Licensed in
IL, MN, NC
In the registry since
2007
Specialties on file
3
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

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone: (828) 324-2800
Fax: (828) 294-9141
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06090 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.003735 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10374 (MN)

Record details

NPI number1770772865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2007
Last updated in NPPESDecember 21, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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