MARY ST. JOHN MMS, PA-C
NPI 1255840385
Physician Assistant - Medical in Charlotte, NC

Active since September 20, 2017
1900 SCOTT AVE, CHARLOTTE, NC 28203(704) 334-7311 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary St. John Mms, Pa-c NPPES

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

MARY ST. JOHN MMS, PA-C (NPI 1255840385) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-07443) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1255840385
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY ST. JOHNCredential: MMS, PA-C
Location Address1900 SCOTT AVECharlotte, NC 28203-6046
Mailing Address2015 Edgewater DrCharlotte, NC 28210-5328
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
NPI 1255840385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 0010-07443
1900 SCOTT AVE, Charlotte, NC 28203

Other Names 1

Former Name (1)Mary Gallagher

Other Providers at the Same Location NPPES 11

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

Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Psychiatry & Neurology (Neurology)
1900 SCOTT AVE
CHARLOTTE, NC 28203
Family Medicine
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1900 SCOTT AVE
CHARLOTTE, NC 28203
Pediatrics
1900 SCOTT AVE, STE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1900 SCOTT AVE
CHARLOTTE, NC 28203
Social Worker (Clinical)
1900 SCOTT AVE
CHARLOTTE, NC 28203

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 Mary St. John's NPI number?

The NPI number for Mary St. John is 1255840385. It was assigned to this individual provider in the NPPES registry on September 20, 2017. The provider is also known as Mary Gallagher.

Where is Mary St. John located?

Mary St. John practices at 1900 Scott Ave, Charlotte, NC 28203. The listed phone number is (704) 334-7311.

What is Mary St. John's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary St. John was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.