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MADISON LYNN JURCENKO PA-C
NPI 1629685326
Physician Assistant in Charlotte, NC

Active since September 26, 2020
11840 SOUTHMORE DR STE 100, CHARLOTTE, NC 28277(980) 308-0169 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Oct 20, 2022, Sep 26, 2020 (3 updates tracked since 2020).

About Madison Lynn Jurcenko Pa-c NPPES

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

MADISON LYNN JURCENKO PA-C (NPI 1629685326) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-12531) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1629685326
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON LYNN JURCENKOCredential: PA-C
Location Address11840 SOUTHMORE DR STE 100Charlotte, NC 28277-4821
Mailing AddressPo Box 601843Charlotte, NC 28260-1843
Phone(980) 308-0169
Sole ProprietorNo
Enumeration DateSeptember 26, 2020
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1629685326 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 · 0010-12531✔ Licensed in NY · 025682
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.
11840 SOUTHMORE DR STE 100, Charlotte, NC 28277
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Other Providers at the Same Location NPPES 16

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

MS. MARIAH LEIGH RODRIGUEZ PA
Physician Assistant
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (980) 308-0169
KRISTIN MICHELE GOLDSTEIN PT, DPT
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4443
DEAN L. MONIOT MS, PT, OCS
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4443
SUSAN MCRAE
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4441
CHRISTINA LEUNG GRIFFITH
Physician Assistant
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (980) 308-0169
MEGHAN MARY MCKEE
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4441
ELEANOR RANKIN PLEASANTS DPT
Physical Therapist
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4441
MRS. TRISHA ANN DMYTRUK FNP
Obstetrics & Gynecology (Obstetrics)
11840 SOUTHMORE DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4440

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 Madison Jurcenko's NPI number?

The NPI number for Madison Jurcenko is 1629685326. It was assigned to this individual provider in the NPPES registry on September 26, 2020.

Where is Madison Jurcenko located?

Madison Jurcenko practices at 11840 Southmore Dr Ste 100, Charlotte, NC 28277. The listed phone number is (980) 308-0169.

What is Madison Jurcenko'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 Madison Jurcenko was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.