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

Individual provider Physician Assistant · NPI 1396351607

Michael Blackwell, PA is a Physician Assistant in Charlotte, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
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

501 Billingsley Rd Ste B
Charlotte, NC 28211-1009
Phone: (704) 444-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16740 Davidson Concord Rd, Davidson, NC 28036-8746 — (704) 444-2400
  • 706 W King St, Kings Mountain, NC 28086-2708 — (980) 487-5470

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10614 (NC)

Record details

NPI number1396351607
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 27, 2021
Certification dateFebruary 19, 2021

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