Healthcare Provider Details

I. General information

NPI: 1568075323
Provider Name (Legal Business Name): JAMES S NG PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2020
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1771 TATE BLVD SE STE 201
HICKORY NC
28602-4250
US

IV. Provider business mailing address

1771 TATE BLVD SE STE 201
HICKORY NC
28602-4250
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-9178
  • Fax: 336-713-8180
Mailing address:
  • Phone: 828-327-9178
  • Fax: 336-713-8180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: