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

Individual provider Medical Physician Assistant · NPI 1366727497

Mrs. Keri Anne Squittieri, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Dermatology Care of Charlotte PA, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
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

3006 Baucom Rd
Charlotte, NC 28269-6762
Phone: (704) 596-1787
Fax: (704) 596-6230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-03191 (NC)

Record details

NPI number1366727497
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 20, 2011
Last updated in NPPESFebruary 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dermatology Care Of Charlotte Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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