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

Individual provider Physician Assistant · NPI 1124366091

Ryan Stout, PA is a Physician Assistant in Charlotte, North Carolina. Works from 5 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
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

2001 Vail Ave
Charlotte, NC 28207-1248
Phone: (704) 304-6070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 10648 Park Rd, Charlotte, NC 28210-8407 — (704) 667-7070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241
  • 487 Lake Concord Rd Ne, Concord, NC 28025-2934 — (704) 403-0100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03926 (NC)

Record details

NPI number1124366091
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2013
Last updated in NPPESJanuary 5, 2022

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