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MR. ZACHARY DAVID PETTIT PA-C
NPI 1003709601
Physician Assistant in Charlotte, NC

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment
4601 PARK RD STE 250, CHARLOTTE, NC 28209(704) 323-3820 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Zachary David Pettit Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ZACHARY DAVID PETTIT PA-C (NPI 1003709601) is an individual physician assistant in Charlotte, North Carolina and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003709601
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ZACHARY DAVID PETTITCredential: PA-C
Location Address4601 PARK RD STE 250Charlotte, NC 28209-2373
Mailing Address4601 Park Rd Ste 300Charlotte, NC 28209-2290 · (704) 323-2131
Phone(704) 323-3820
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1003709601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4601 PARK RD STE 250, Charlotte, NC 28209
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Zachary David Pettit Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234621830
PECOS Enrollment IDI20251121000793
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY SIGMON BAKER PA-C
Physician Assistant
4601 PARK RD STE 250
CHARLOTTE, NC 28209
Mecklenburg County (704) 323-2000
RACHEL ELAINE SZOPA PA-C
Physician Assistant
4601 PARK RD STE 250
CHARLOTTE, NC 28209
Mecklenburg County (704) 323-3820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Pettit's NPI number?

The NPI number for Zachary Pettit is 1003709601. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Zachary Pettit located?

Zachary Pettit practices at 4601 Park Rd Ste 250, Charlotte, NC 28209. The listed phone number is (704) 323-3820.

What is Zachary Pettit's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zachary Pettit enrolled in Medicare?

Yes. Zachary Pettit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Zachary Pettit was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.