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AMANDA MARIE FREDERICK
NPI 1386112100
Physician Assistant in Charlotte, NC

Active since November 09, 2018
7349 STATESVILLE RD # B, CHARLOTTE, NC 28269(866) 550-3472(704) 973-7875 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Nov 12, 2025, Apr 3, 2024 and 2 more (5 updates tracked since 2018).

About Amanda Marie Frederick NPPES

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

AMANDA MARIE FREDERICK (NPI 1386112100) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-08418) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1386112100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA MARIE FREDERICK
Location Address7349 STATESVILLE RD # BCharlotte, NC 28269-3702
Mailing Address8936 Cypress Forest DrCharlotte, NC 28216-1674
Phone(866) 550-3472
Fax(704) 973-7875
Sole ProprietorNo
Enumeration DateNovember 9, 2018
Last NPPES UpdateDecember 19, 20255 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1386112100 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 · 0010-08418
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.
7349 STATESVILLE RD # B, Charlotte, NC 28269
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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 Amanda Frederick's NPI number?

The NPI number for Amanda Frederick is 1386112100. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Amanda Frederick located?

Amanda Frederick practices at 7349 Statesville Rd # B, Charlotte, NC 28269. The listed phone number is (866) 550-3472.

What is Amanda Frederick's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Frederick was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.