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

Madison Skye McLellan Polsgrove, PA

Individual provider Physician Assistant · NPI 1154131720

Madison Skye McLellan Polsgrove, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 446-5185
Fax: (704) 446-0221
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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 0010-15533 (NC)

Record details

NPI number1154131720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 7, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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