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

Mira Sanjay Patel, PA-C

Individual provider Physician Assistant · NPI 1578105664

Mira Sanjay Patel, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
7
Licensed in
NC, PA
In the registry since
2019
Specialties on file
2
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

12311 Copper Way
Charlotte, NC 28277-3642
Phone: (704) 667-0820
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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 001015437 (NC)
Physician Assistant Taxonomy 363A00000X · Licence MA060967 (PA)

Record details

NPI number1578105664
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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