Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Winfield Black, PA-C

Individual provider Physician Assistant · NPI 1194543306

Matthew Winfield Black, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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

10905 Providence Rd W Ste 270
Charlotte, NC 28277-1538
Phone: (704) 316-3410
Fax: (704) 316-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Yadkin St, Albemarle, NC 28001-3441 — (980) 323-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14851 (NC)

Record details

NPI number1194543306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 27, 2024
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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