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

Michael Warren Reynolds, RPA

Individual provider Medical Physician Assistant · NPI 1215060835

Michael Warren Reynolds, RPA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2006, 20 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
20
Licensed in
NC, NY
In the registry since
2007
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone: (704) 376-7362
Fax: (704) 376-1939
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01036 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 011759 (NY)

Record details

NPI number1215060835
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlotte