JESSICA DANYEL COCKERHAM PA
NPI 1063727212
Physician Assistant in Charlotte, NC

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-9414 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Oct 26, 2020, Jul 13, 2020 and 9 more (12 updates tracked since 2019).

About Jessica Danyel Cockerham Pa NPPES

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

JESSICA DANYEL COCKERHAM PA (NPI 1063727212) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-02326) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063727212
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA DANYEL COCKERHAMCredential: PA
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 12, 2010
Last NPPES UpdateSeptember 11, 202512 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1063727212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-02326
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.

200 HAWTHORNE LN, Charlotte, NC 28204

Secondary Practice Locations 3

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422
Location 21001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840
Location 3920 Church St NConcord, NC 28025-2927 · Phone (704) 403-3664

Accepted Insurance

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

Jessica Danyel Cockerham Pa 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 ID5092990531
PECOS Enrollment IDI20110427000838
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services20 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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 20

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

Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Genetic Counselor, MS
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Anesthesiology
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Radiology (Radiation Oncology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Internal Medicine
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics (Neonatal-Perinatal Medicine)
200 HAWTHORNE LN, INTENSIVE CARE NURSERY
CHARLOTTE, NC 28204
Pediatrics (Neonatal-Perinatal Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Pediatrics (Neonatal-Perinatal Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063727212, enumerated as an "individual" on August 12, 2010.

The provider is located at 200 HAWTHORNE LN CHARLOTTE, NC 28204 and the phone number is (704) 384-9414.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.

Jessica Cockerham is affiliated with: NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER.