Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Dezouche Vela, PA-C

Individual provider Physician Assistant · NPI 1629497334

Rebecca Dezouche Vela, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
12
Licensed in
GA, NC
In the registry since
2014
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

1901 Randolph Rd
Charlotte, NC 28207-1101
Phone: (704) 384-5420
Fax: (704) 384-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-5416
  • 10030 Gilead Rd, Huntersville, NC 28078-7545 — (704) 384-5416

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07198 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 007146 (GA)

Record details

NPI number1629497334
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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