Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jodi Jean Lackey, MBA, MHA, MMSC, PA-C

Individual provider Physician Assistant · NPI 1568551729

MS. Jodi Jean Lackey, MBA, MHA, MMSC, PA-C is a Physician Assistant in Charlotte, North Carolina. Licensed in Georgia, North Carolina and South Carolina. Registered with an NPI since 2006.

Licensed in
GA, NC, SC
In the registry since
2006
Specialties on file
5
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
MHA — Master of Health Administration
A graduate degree in health management.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4100 Carmel Rd
Charlotte, NC 28226-6150
Phone: (864) 288-8280
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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 0010-01518 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 1782 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-01518 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3097 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TL1782 (SC)

Record details

NPI number1568551729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , MHA , MMSC , PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

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