Individual ProviderJohanna Elizabeth Hughes MencelPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7903 Providence Rd Ste 100, Charlotte, NC 28277-9763(704) 316-4460(704) 316-3410PECOS EnrollmentBased on the most recent information from CMS, provider Johanna Elizabeth Hughes Mencel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1427280650Provider TypeIndividualFull NameMencel, Johanna Elizabeth HughesCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/21/2009Last Updated4/26/2023Contact InformationPractice LocationPractice Address7903 Providence Rd Ste 100, Charlotte, NC 28277-9763Phone(704) 316-4460Fax(704) 316-4466Mailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(704) 316-3410Fax(704) 512-6851Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-04958North CarolinaProvider IdentifiersIDDescriptionIssuerID2751PADescriptionMedicaidIssuerUnlistedSouth CarolinaID1427280650DescriptionMedicaidIssuerUnlistedNorth CarolinaID0010-04958DescriptionOtherIssuerNORTH CAROLINA MEDICAL LICENSENorth Carolina