MEDICARE: VICTORIA GRACE MOTTA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-10913	NC
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1497376701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA GRACE MOTTA PA-C

Provider Business Mailing Address
First Line	:	PO BOX 1845
Second Line	:
City	:	STATESVILLE
State	:	NC
Zip	:	28687-1845
Country	:	US
Telephone Number	:	704-873-4277
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 E 7TH ST STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-4314
Country	:	US
Telephone Number	:	704-358-9900
Fax Number	:	704-344-0105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	01/25/2023

Similar Medicare Providers

1093707382 — DR. CURTIS WAYNE SCHUPBACH MD
Practice Location Address:

2620 E 7TH ST
CHARLOTTE, NC
28204-4314

Practice Phone: 704-358-9900
Practice Fax: 704-344-0105

1013465434 — MS. MYISHA BURKETT FNP
Practice Location Address:

2620 E 7TH ST STE 100
CHARLOTTE, NC
28204-4314

Practice Phone: 704-332-7141
Practice Fax: 704-342-3324

1891225520 — MRS. LORI MARIE CAPPELLO APRN
Practice Location Address:

2620 E 7TH ST STE 200
CHARLOTTE, NC
28204-4314

Practice Phone: 704-358-9900
Practice Fax:

1588251920 — VOCI PLASTIC SURGERY
Practice Location Address:

2620 E 7TH ST STE 300
CHARLOTTE, NC
28204-4314

Practice Phone: 704-333-8300
Practice Fax: 704-375-7331

1144169277 — A VHS HOME CARE INC
Practice Location Address:

2332 BEATTIES FORD RD
CHARLOTTE, NC
28216-4314

Practice Phone: 704-301-8399
Practice Fax: 704-536-4373

1578621264 — VICTORIOUS HEALTH SERVICES
Practice Location Address:

2332 BEATTIES FORD RD
CHARLOTTE, NC
28216-4314

Practice Phone: 704-535-0995
Practice Fax: 704-536-4373

Directions to “ VICTORIA GRACE MOTTA PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.