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

Olisa Kingsley Obi, PA

Individual provider Physician Assistant · NPI 1932459245

Olisa Kingsley Obi, PA is a Physician Assistant in Charlotte, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 2012, 14 years ago. Practices with Emergency Medical Association of New York PC, a 36-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NC
In the registry since
2012
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2171
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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 0010-04656 (NC)

Record details

NPI number1932459245
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Emergency Medical Association Of New York Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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