Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dalena Mae Custer, PA-C

Individual provider Physician Assistant · NPI 1184706806

Mrs. Dalena Mae Custer, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2005, 21 years ago. Practices with Tryon Medical Partners, PLLC, a 137-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2006
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

10635 Park Rd Ste I
Charlotte, NC 28210-8408
Phone: (704) 495-6334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10620 Park Rd Ste 128, Charlotte, NC 28210-0106 — (704) 542-6111
  • 2711 X Ray Dr, Gastonia, NC 28054-7491 — (704) 834-2420

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00302 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001000302 (NC)

Record details

NPI number1184706806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tryon Medical Partners, Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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