Individual provider · Type 1 NPI

Bethany Marie Grubb, PA

Physician Assistant · Charlotte, NC

NPI number 1861754178 Active

Practice location

128 E Park Ave Ste A
Charlotte, NC 28203-3720

Call (704) 750-8801 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

8800 N Tryon St, Charlotte, NC 28262-3300 · (704) 863-6241
10628 Park Rd, Charlotte, NC 28210-8407 · (704) 667-7070
1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 · (704) 355-0720
920 Church St N, Suite 255, Concord, NC 28025-2927 · (704) 403-1331
2001 Vail Ave, Charlotte, NC 28207-1248 · (704) 304-6070

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	0010-03542 (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 1861754178

Bethany Marie Grubb, PA's National Provider Identifier is 1861754178, issued on Jun 12, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on May 19, 2026.