Individual provider · Type 1 NPI

Anna Davenport Shealy Pruitt, PA-C

Physician Assistant · Charlotte, NC

NPI number 1821689068 Active

Practice location

5821 Fairview Rd Ste 106
Charlotte, NC 28209-3649

Call (704) 826-3550 Map

Fax (704) 538-4135

Mailing address

4705 University Dr Bldg 700
Durham, NC 27707-3489

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12215 (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…

9 other providers at this address

Other physician assistant providers in Charlotte

See all in Charlotte →

About NPI 1821689068

Anna Davenport Shealy Pruitt, PA-C's National Provider Identifier is 1821689068, issued on Jan 31, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on May 21, 2025.