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

Mr. Clint David Price, PAC

Individual provider Medical Physician Assistant · NPI 1053330480

Mr. Clint David Price, PAC is a Physician Assistant in Charlotte, North Carolina. Qualified in 1996, 30 years ago. Practices with Port City Urgent Care PC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone: (704) 377-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 102155 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 102155 (NC)

Record details

NPI number1053330480
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Port City Urgent Care Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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