Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Linda Renee Coverdale, PA

Individual provider Medical Physician Assistant · NPI 1063795995

Mrs. Linda Renee Coverdale, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2011, 15 years ago. Practices with Southeast Radiation Oncology Group, PA, a 52-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 — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Queens Rd Ste 400
Charlotte, NC 28204-3253
Phone: (704) 333-7376
Fax: (704) 333-3397
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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 001003106 (NC)

Record details

NPI number1063795995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESJuly 22, 2015

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 Southeast Radiation Oncology Group, P.A. — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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