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MICHAEL BLACKWELL PA
NPI 1396351607
Physician Assistant in Charlotte, NC

Active since September 22, 2020
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211(704) 444-2400 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Sep 15, 2021, Sep 9, 2021 and 3 more (6 updates tracked since 2020).

About Michael Blackwell Pa NPPES

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

MICHAEL BLACKWELL PA (NPI 1396351607) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-10614) and active in the NPI registry since September 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396351607
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL BLACKWELLCredential: PA
Location Address501 BILLINGSLEY RD, STE BCharlotte, NC 28211-1009
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 444-2400
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
Last NPPES UpdateSeptember 27, 20216 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1396351607 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 · 0010-10614
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.
501 BILLINGSLEY RD, Charlotte, NC 28211
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Secondary Practice Locations 2

Location 116740 Davidson Concord RdDavidson, NC 28036-8746 · Phone (704) 444-2400
Location 2706 W King StKings Mountain, NC 28086-2708 · Phone (980) 487-5470

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.

STEPHANIE FRANCIS NEWBY MD
Psychiatry & Neurology (Addiction Medicine)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
BORIS MAXIMOVICH KISELEV MD
Internal Medicine
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
NEISHA PETTAWAY LCMHCA
Counselor (Mental Health)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
MRS. ROSE K CHIN RPH
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862
HRISTOS CHRISTOPHER KARANIKAS MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DR. TERESA KATHRYN HOSKINS DO, MPH, CPH
Student in an Organized Health Care Education/Training Program
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
TIMOTHY COOPER KING MD
Psychiatry & Neurology (Psychiatry)
501 BILLINGSLEY RD, STE B
CHARLOTTE, NC 28211
Mecklenburg County (704) 444-2400
DAVID FRANKLIN TAYLOR PHARMD
Pharmacist
501 BILLINGSLEY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 358-2862

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 Michael Blackwell's NPI number?

The NPI number for Michael Blackwell is 1396351607. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Michael Blackwell located?

Michael Blackwell practices at 501 Billingsley Rd Ste B, Charlotte, NC 28211. The listed phone number is (704) 444-2400.

What is Michael Blackwell'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 Michael Blackwell was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.