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

Vincent J Costella, PAC

Individual provider Surgical Physician Assistant · NPI 1336503036

Vincent J Costella, PAC is a Physician Assistant in Greensboro, North Carolina. Qualified in 2016, 10 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3511 W Market St Ste 250
Greensboro, NC 27403-4445
Phone: (336) 852-3800
Fax: (336) 852-5725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 N Church St Ste 200, Greensboro, NC 27401-1041 — (336) 272-4578

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06358 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-06358 (NC)

Record details

NPI number1336503036
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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