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

MS. Susanne Peacock Hawthorne, PA-C

Individual provider Medical Physician Assistant · NPI 1710223409

MS. Susanne Peacock Hawthorne, PA-C is a Medical Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
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

200 Greenwich Rd
Charlotte, NC 28211-2316
Phone: (704) 384-8680
Fax: (704) 384-8684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03993 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-03993 (NC)

Record details

NPI number1710223409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2012
Last updated in NPPESJuly 1, 2013

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