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

MS. Mariah Leigh Rodriguez, PA

Individual provider Physician Assistant · NPI 1003367541

MS. Mariah Leigh Rodriguez, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone: (980) 308-0169
Fax: (980) 308-0173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 — (704) 688-9650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07406 (NC)

Record details

NPI number1003367541
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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