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

Mariah Dee Gipson-Leroux, PA

Individual provider Physician Assistant · NPI 1922671403

Mariah Dee Gipson-Leroux, PA is a Physician Assistant in Charlotte, North Carolina. Registered with an NPI since 2021.

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.

See every abbreviation used in this directory →

Practice location Address checks out

131 Providence Rd Ste 200
Charlotte, NC 28207-1235
Phone: (980) 256-2233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922671403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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