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

Mr. Dakota Garron Irwin, PA

Individual provider Physician Assistant · NPI 1053829986

Mr. Dakota Garron Irwin, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10628 Park Rd
Charlotte, NC 28210-8407
Phone: (800) 828-0898
Fax: (330) 493-8677
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 445 S Kings Dr, Charlotte, NC 28204-3041 — (980) 308-0141

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001007830 (NC)

Record details

NPI number1053829986
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Charlotte