Jessica Danyel Cockerham is a Physician Assistant practicing in Charlotte, North Carolina. The National Provider Identifier (NPI) is #1063727212, which was assigned on August 12, 2010, and the registration record was last updated on September 11, 2025. The practitioner's main practice location is at 200 Hawthorne Ln, Charlotte, NC 28204-2515; the contact telephone number is 7043849414. The primary taxonomy of Jessica Danyel Cockerham is Physician Assistant (363A00000X). Jessica Danyel Cockerham is licensed to practice in the state of North Carolina (#0010-02326).
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.
| NPI | 1063727212 |
| Entity Type | Individual |
| Provider Name | JESSICA DANYEL COCKERHAM |
| Gender | Female |
| Credential | PA |
| Practice Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Practice Telephone | 7043849414 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Certification Date | 2025-09-11 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2025-09-11 |
| Is Sole Proprietor | N |
| PAC ID |
5092990531 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JESSICA DANYEL COCKERHAM |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | NOVANT HEALTH MEDICAL GROUP, LLC |
| Address |
1901 Randolph Rd Charlotte NC 28207-1101 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-02326 | NC |
| Address | Telephone | Fax |
|---|---|---|
| 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 282035866 | 7043818840 | |
| 1350 S Kings Dr, Charlotte, NC 282072134 | 7044461422 | |
| 920 Church St N, Concord, NC 280252927 | 7044033664 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| 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. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gabrielle Turner | 1341 Clark St, Cambridge, OH 43725-9614 | Physician Assistant | 2026-05-08 |
| Dresden Ansley Dilts | 1935 Medical District Dr, Dallas, TX 75235-7701 | Physician Assistant | 2026-05-08 |
| Kimberly Descalso | 11795 Education St Ste 222, Auburn, CA 95602-2469 | Physician Assistant | 2026-05-09 |
| Zachary William Block · Zac Block | 3144 S Gordon Ave, Wichita, KS 67217-1520 | Physician Assistant | 2026-05-09 |
| Deaconess Speciality Physicians, Inc | 1004 E Illinois St, Petersburg, IN 47567-8068 | Physician Assistant | 2026-05-08 |
| Mackenzie Roach | 400 Goodys Ln Unit 5308, Knoxville, TN 37922-1914 | Physician Assistant | 2026-05-09 |
| Lisa Michelle Imhof | 6501 Deerview Dr, Raleigh, NC 27606-8802 | Physician Assistant | 2026-05-09 |
| Jared Farnsworth | 18 Charles St, Newport, OH 45768-5005 | Physician Assistant | 2026-05-08 |
| Lilian Cristina Rotarescu Rezende | 1100 S Federal Hwy Ste 100, Deerfield Beach, FL 33441-7000 | Physician Assistant | 2026-05-09 |
| Taylor King · Taylor Wolfe | 4401 N Himes Ave, Tampa, FL 33614-7097 | Physician Assistant | 2026-05-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2515 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brittan Jobe | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Neonatal Intensive Care Registered Nurse | 2024-10-29 |
| Jerome Ellis Overton | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Critical Care Medicine Registered Nurse | 2024-09-17 |
| Lykeirra Steele | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Physician Assistant | 2026-02-12 |
| Trevor Lee Murray | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Physician Assistant | 2025-06-13 |
| The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Community/Retail Pharmacy | 2024-09-24 |
| Jonathan Brockmeyer Mardis | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Certified Registered Nurse Anesthetist | 2024-12-31 |
| Lauren Mooneyhan Mccotter | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Nurse Practitioner | 2025-07-05 |
| Lauren Nicole Smith | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Physician Assistant | 2025-06-11 |
| Andrew Paul Edwards | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Certified Registered Nurse Anesthetist | 2024-12-31 |
| Ladonna Earwood | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | Psychiatric/Mental Health Nurse Practitioner | 2025-08-12 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Julie Sweet Rayner | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | Certified Registered Nurse Anesthetist | 2006-06-16 |
| Dayna Leigh Slomba | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | Lactation Consultant (Non-RN) | 2013-03-27 |
| Margaret Countiss Harbison | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | Mental Health Counselor | 2012-07-20 |
| Cassie Steck | 200 Hawthorne Lane, Charlotte, NC 28204-2515 | Physician Assistant | 2008-10-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Zi Yang Lin | 1237 Harding Pl Ste 4200, Charlotte, NC 28204 | Acute Care Nurse Practitioner | 2021-06-30 |
| Four Corners Testing LLC | 301 S Mcdowell Street, Suite 125 - 1652, Charlotte, NC 28204 | Clinic/Center | 2023-01-20 |
| Malia Suhren | 360 North Caswell Road., Suite. 303, Charlotte, NC 28204 | Clinical Social Worker | 2023-06-30 |
| Breanna Danielle Cobb | 1300 Baxter St Suite 450, Charlotte, NC 28204 | Behavior Technician | 2025-10-13 |
| Dana Lorraine Bjuro | 205 S Kings Drive, Ste 150, Charlotte, NC 28204 | Family Nurse Practitioner | 2024-10-30 |
| Keith Henry | 301 S Mc Dowell Steets, Suite125-1572, Charlotte, NC 28204 | Military Health Care Provider | 2022-10-31 |
| Amber Lilia Pellington | 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 | Acute Care Nurse Practitioner | 2018-07-31 |
| Jesse Elijah Roberts | 1801 E 5th Street, #208, Charlotte, NC 28204 | Mental Health Counselor | 2018-05-01 |
| Breyanna Mychelle Rhodes | 1300 1300 Baxter St, Ste 450, Charlotte, NC 28204 | Behavior Technician | 2025-12-09 |
| Gopi Nilesh Patel | 1237 Harding Place, Suite 3100, Charlotte, NC 28204 | Acute Care Nurse Practitioner | 2025-10-31 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jessica Magliocco · Jessica Bias | 639 York St, Quincy, IL 62301-3963 | Counselor | 2026-03-30 |
| Jessica M Jackson · Jessica Muscarelli Marciano | 800 N Lake Dr, Lexington, SC 29072-2903 | Physical Therapist | 2026-04-02 |
| Danyel C Lendrum | 205 S Skinner Ave, Pooler, GA 31322-3221 | Marriage & Family Therapist | 2026-03-16 |
| Danyel Ruth Beadling | 1852 Sinclair Ave, Steubenville, OH 43953-3328 | Case Manager/Care Coordinator | 2026-04-17 |
| Jessica Burt · Jessica Strok | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | Mental Health Counselor | 2026-04-22 |
| Jessica Lopez-Castanon · Jessica Posner | 1200 Concord Ave Ste 185, Concord, CA 94520-5006 | Behavior Technician | 2026-02-25 |
| Jessica Reasononver Holler · Jessica Ashlie Reasonover | 5511 Virginia Way Ste 300, Brentwood, TN 37027-7611 | Addiction (Substance Use Disorder) Counselor | 2026-04-30 |
| Jessica G. Anderson · Jessica G. Smith | 865 Lasalle St, Harrisburg, OR 97446 | Registered Nurse | 2026-02-03 |
| Jessica Jade Brecht · Jessica Hansel | 8414 Woodstone Ct Sw, Cedar Rapids, IA 52404-9090 | Marriage & Family Therapist | 2026-02-20 |
| Jessica Sergent · Jessica Stevens | 360 Main St, Hamlin, WV 25523-1412 | Personal Care Attendant | 2026-03-12 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |