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

Mr. Hailu M Kebede, PA-C

Individual provider Physician Assistant · NPI 1083962971

Mr. Hailu M Kebede, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Medical Univ of South Carolina Col of Dental Med in 2011, 15 years ago. Practices with Charlotte Gastroenterology and Hepatology PLLC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
15
Trained at
Medical Univ of South Carolina Col of Dental Med
Licensed in
NC, SC
In the registry since
2012
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

2015 Randolph Rd Ste 208
Charlotte, NC 28207-1200
Phone: (704) 377-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 E Cheves St, Florence, SC 29506-2615 — (843) 777-7333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001010441 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 1817 (SC)

Record details

NPI number1083962971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2012
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
Graduated 2011 (15 years in practice)
Group practice Charlotte Gastroenterology And Hepatology Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Charlotte