ANNA LILLIAN HALLOCK PA-C
NPI 1407545890
Physician Assistant in Charlotte, NC

Q: What is Anna Hallock's NPI number?

The NPI number for Anna Hallock is 1407545890. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Q: What is Anna Hallock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anna Hallock was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 02, 2023PECOS EnrolledAccepts Medicare Assignment

4741 RANDOLPH RD STE 100&200, CHARLOTTE, NC 28211(704) 365-6730(704) 365-6731 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, May 2, 2023 (2 updates tracked since 2023).

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About Anna Lillian Hallock Pa-c NPPES

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

ANNA LILLIAN HALLOCK PA-C (NPI 1407545890) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-14039) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Wingate.

NPPES Registry Identity

NPI1407545890

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANNA LILLIAN HALLOCKCredential: PA-C

Location Address4741 RANDOLPH RD STE 100&200Charlotte, NC 28211-2919

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 365-6730

Fax(704) 365-6731

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 2, 2023

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1407545890 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 · 0010-14039

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.

4741 RANDOLPH RD STE 100&200, Charlotte, NC 28211

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Secondary Practice Location 1

Location 1211 E Wilson StWingate, NC 28174-9664 · Phone (704) 233-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Anna Lillian Hallock Pa-c 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 ID4789122581

PECOS Enrollment IDI20240812001836

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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 5

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

EMIL PETER OCCHIBOI PA-C, ATC

Physician Assistant