JUSTIN BILANCIA PA
NPI 1386661940
Physician Assistant in Charlotte, NC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-4490 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Jul 26, 2024, May 13, 2024 and 27 more (30 updates tracked since 2016).

About Justin Bilancia Pa NPPES

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

JUSTIN BILANCIA PA (NPI 1386661940) is an individual physician assistant in Charlotte, North Carolina, licensed in Missouri (2026008856) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1386661940
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN BILANCIACredential: PA
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 2, 202630 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1386661940 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 MO · 2026008856 Licensed in MA · PA9361 Licensed in NC · 0010-05245 Licensed in PA · MA063564
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.
1350 S KINGS DR, Charlotte, NC 28207

Secondary Practice Locations 6

Location 11001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 355-5100
Location 21918 Randolph Rd Ste 580Charlotte, NC 28207-1116 · Phone (704) 384-9900 · Fax (704) 384-9919
Location 3119 Belmont StWorcester, MA 01605-2903 · Phone (774) 443-7552
Location 410650 Park Rd, Suite 300Charlotte, NC 28210-8538 · Phone (704) 667-3960
Location 51437 Scott AveCharlotte, NC 28203-5843 · Phone (704) 446-5860
Location 655 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 443-7552

Other Identifiers 1

Medicaid104054970-0004PA

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

Justin Bilancia 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 ID6800993510
PECOS Enrollment IDI20150623000862, I20260408003776
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

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

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207

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 Justin Bilancia's NPI number?

The NPI number for Justin Bilancia is 1386661940. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Justin Bilancia located?

Justin Bilancia practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-4490.

What is Justin Bilancia's specialty?

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

Is Justin Bilancia enrolled in Medicare?

Yes. Justin Bilancia 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.

What insurance does Justin Bilancia accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and CareSource list Justin Bilancia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Bilancia affiliated with any hospitals?

According to CMS data, Justin Bilancia is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Bilancia was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.