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

Scott William Carroll, PA

Individual provider Physician Assistant · NPI 1790302883

Scott William Carroll, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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

501 Billingsley Rd Ste B
Charlotte, NC 28211-1009
Phone: (704) 444-2400
Fax: (704) 444-2515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16740 Davidson Concord Rd, Davidson, NC 28036-8746 — (704) 444-2400
  • 706 W King St, Kings Mountain, NC 28086-2708 — (980) 487-5470

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10306 (NC)

Record details

NPI number1790302883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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