MEDICARE: ERIN PARSONS SICELOFF 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	0010-00335	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002647425	OTHER	NC	UHC
2	19FFR	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1376564104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PARSONS SICELOFF PA-C

Provider Business Mailing Address
First Line	:	7810 BALLANTYNE COMMONS PKWY STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3416
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

Provider Business Practice Location Address
First Line	:	7810 BALLANTYNE COMMONS PKWY STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3416
Country	:	US
Telephone Number	:	704-342-0252
Fax Number	:	980-533-7801

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	01/02/2026

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