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

Mark Charles Jakubisin, PA

Individual provider Physician Assistant · NPI 1891116331

Mark Charles Jakubisin, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2013, 13 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
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

1237 Harding Pl Ste 4300
Charlotte, NC 28204
Phone: (704) 373-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1237 Harding Pl, Charlotte, NC 28204 — (704) 373-0212
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1349
  • 146 Medical Park Rd, Mooresville, NC 28117-8528 — (704) 799-3939

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04704 (NC)

Record details

NPI number1891116331
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 31, 2013
Last updated in NPPESJuly 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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