Individual provider · Type 1 NPI

Matthew Winfield Black, PA-C

Physician Assistant · Charlotte, NC

NPI number 1194543306 Active

Practice location

10905 Providence Rd W Ste 270
Charlotte, NC 28277-1538

Fax (704) 316-3420

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 301 Yadkin St, Albemarle, NC 28001-3441 · (980) 323-4000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-14851 (NC)

Physician Assistant: 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, orde…

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About NPI 1194543306

Matthew Winfield Black, PA-C's National Provider Identifier is 1194543306, issued on Sep 27, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 3, 2026.