Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tony Derrick McLaurin II, MSPH, PA-C

Individual provider Physician Assistant · NPI 1629747563

Mr. Tony Derrick McLaurin II, MSPH, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Mindpath Care Centers North Carolina PLLC, a 115-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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

6060 Piedmont Row Dr S Ste 500
Charlotte, NC 28287-3803
Phone: (855) 501-1004
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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 0010-11709 (NC)

Record details

NPI number1629747563
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPH , PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mindpath Care Centers North Carolina Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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