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

Mary St John, MMS, PA-C

Individual provider Medical Physician Assistant · NPI 1255840385

Mary St John, MMS, PA-C is a Medical Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Scott Ave
Charlotte, NC 28203-6046
Phone: (704) 334-7311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-07443 (NC)

Record details

NPI number1255840385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESSeptember 20, 2017

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