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

Miss. Shantial Latoya Oliver, PA-C

Individual provider Surgical Physician Assistant · NPI 1568847564

Miss. Shantial Latoya Oliver, PA-C is a Physician Assistant in Huntersville, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Prep II LLC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
11
Licensed in
NC, SC
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

10030 Gilead Rd Ste 245
Huntersville, NC 28078-7545
Phone: (704) 895-9390
Fax: (704) 546-5948
Show map & directions

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

Additional practice locations (1)

  • 2391 Court Dr Ste 120b, Gastonia, NC 28054-2196 — (704) 874-0095

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05806 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-05806 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 4144 (SC)

Record details

NPI number1568847564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Prep Ii Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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