Larson Thomas Vickery, PA-C
Physician Assistant · Charlotte, NC
Larson Thomas Vickery, PA-C is a physician assistant with a practice address in Charlotte, North Carolina, and NPI 1477171494, issued on Jul 7, 2020. Check the license (North Carolina 0010-10264, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Larson Thomas Vickery
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-10264 NC
Self-reported in NPPES; status is on the state search - Practice location
- 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273
- Phone
- (980) 302-8850
- Enumerated
- Jul 7, 2020
- Record last updated
- May 30, 2023
- Medicare enrollment
- Enrolled (PECOS I20200914000573); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 3545 Whitehall Park Dr Ste 300
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lucinda Agbewali, DNP, FNP-C, PMHNP-BCNurse Practitioner1831730787
- Richard Agyekum Addo, PMHNP-BCNurse Practitioner1700419835
- Vanessa Arenas, LCMHCPhysician Assistant1144656398
- Jared Atkinson, M.D.Psychiatry Physician1629424114
- Amy Benchina, PMHNPNurse Practitioner1316596240
- Robert Cox, LCMHCCounselor1003884644
Verify Larson Thomas Vickery in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-10264Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Novant Health Medical Group, LLCWinston Salem, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Larson Thomas Vickery among 9,279 physician assistant records in North Carolina
Larson Thomas Vickery, PA-C is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 67% of them.
- NPI issued2020 · 67% of these records are older, 28% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2019 · median 2017 among the 6,366 with a school on file
- Record last updated2023 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,308 physician assistant records list a practice address in Charlotte
They are 1,308 of the 23,603 NPPES records with a practice address in Charlotte, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Charlotte → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Dionne Agyemang, PACharlotte, NC 282731033860788
- Vanessa Arenas, LCMHCCharlotte, NC 282731144656398
- Shawn Buller, PACharlotte, NC 282731861452443
- Samuel Floyd, PA-CCharlotte, NC 282731285731299
- Charles Forbes, PACharlotte, NC 282731063722957
- Sir Funchess, PACharlotte, NC 282731740407303
- Jennifer Hanopole, PA-CCharlotte, NC 282731598069734
- Madeleine Mvula, PACCharlotte, NC 282731265819353
Common questions
What is Larson Thomas Vickery, PA-C's NPI number?
Larson Thomas Vickery, PA-C's National Provider Identifier (NPI) is 1477171494, issued on Jul 7, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Larson Thomas Vickery, PA-C located?
The NPPES record lists a practice address at 3545 Whitehall Park Dr Ste 300, Charlotte, NC, 28273. Phone: (980) 302-8850. Providers update this record themselves, so call before visiting.
How can I verify Larson Thomas Vickery, PA-C's license?
NPPES lists North Carolina license number 0010-10264, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.