Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremy Alan Gaines, PA-C

Individual provider Physician Assistant · NPI 1407839483

Mr. Jeremy Alan Gaines, PA-C is a Physician Assistant in Charlotte, North Carolina. Graduated from Wake Forest University School of Medicine in 1991, 35 years ago. Practices with Orthocarolina, PA, a 301-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
35
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2005
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

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone: (704) 323-2000
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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 101489 (NC)

Record details

NPI number1407839483
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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