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

McKenzie Dickson Greene, PA

Individual provider Physician Assistant · NPI 1154881837

McKenzie Dickson Greene, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Charlotte Radiology PA, a 218-clinician group and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
8
Licensed in
IL, NC
In the registry since
2019
Specialties on file
4
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

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone: (704) 334-7800
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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 0010-16078 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 085006947 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085006947 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085006947 (IL)

Record details

NPI number1154881837
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Charlotte Radiology Pa — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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