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

Mrs. Andrea Gentry Brock, PA-C

Individual provider Physician Assistant · NPI 1073575908

Mrs. Andrea Gentry Brock, PA-C is a Physician Assistant in Mooresville, North Carolina. Qualified in 2002, 24 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2006
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

128 Medical Park Rd Ste 101
Mooresville, NC 28117-8578
Phone: (704) 658-1001
Fax: (704) 658-1002
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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 103497 (NC)

Record details

NPI number1073575908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Mooresville