GRACIOUS JOHN PA
NPI 1285996314
Physician Assistant in Charlotte, NC

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
8450 PARK RD, CHARLOTTE, NC 28210(980) 308-0143(980) 308-0142 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2020, Oct 29, 2019 (2 updates tracked since 2019).

About Gracious John Pa NPPES

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

GRACIOUS JOHN PA (NPI 1285996314) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-09395) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285996314
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGRACIOUS JOHNCredential: PA
Location Address8450 PARK RDCharlotte, NC 28210-5801
Mailing AddressPo Box 601843Charlotte, NC 28260-1843
Fax(980) 308-0142
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1285996314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-09395 Licensed in NY · 0160607
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.

8450 PARK RD, Charlotte, NC 28210

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

Gracious John 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 ID1658523352
PECOS Enrollment IDI20211007002556
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 28210 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 9

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

Physician Assistant
8450 PARK RD
CHARLOTTE, NC 28210
Nurse Practitioner
8450 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
8450 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
8450 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
8450 PARK RD
CHARLOTTE, NC 28210
Nurse Practitioner
8450 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
8450 PARK RD
CHARLOTTE, NC 28210
Nurse Practitioner
8450 PARK RD
CHARLOTTE, NC 28210

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 Gracious John's NPI number?

The NPI number for Gracious John is 1285996314. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Gracious John located?

Gracious John practices at 8450 Park Rd, Charlotte, NC 28210. The listed phone number is (980) 308-0143.

What is Gracious John's specialty?

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

Is Gracious John enrolled in Medicare?

Yes. Gracious John 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 Gracious John was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.