Is North Carolina in the PA Compact?
North Carolina is listed by the PA Compact as a member state (as of August 28, 2026). Check pacompact.org for current status; this page is not updated automatically.
North Carolina and the PA Licensure Compact
North Carolina is listed by the PA Compact as a member state (as of August 28, 2026). Per the PA Compact, no states were issuing privileges yet at that date.
PA Compact facts
- PA Compact status
- Listed by the PA Compact as a member state (as of August 28, 2026)
- Privileges
- Per the PA Compact, no states were issuing privileges yet at that date
Check pacompact.org for current status; this page is not updated automatically.
What a PA should do for North Carolina
- Keep your home-state license in good standing.
- Confirm current requirements with the North Carolina licensing board.
- Check pacompact.org for current compact status.
The FSMB directory is only a starting point for finding a board: it lists medical boards, so PAs should confirm which board licenses PAs in that state.
Neighbors
2 of the 4 bordering states are PA Compact members: Tennessee, Virginia.
- Georgia — not listed as a member.
- South Carolina — not listed as a member.
- Tennessee — member.
- Virginia — member.
The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.
In this state, in context
BLS OEWS May 2025 annual mean employee wages — physicians, all other: $247,750; nurse practitioners: $130,870; physician assistants: $130,030. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.
North Carolina physicians, all other pay · North Carolina nurse practitioners pay · North Carolina physician assistants pay · North Carolina nurse anesthetists pay
Decision checklist for North Carolina
- Check the PA Compact’s published member list for North Carolina; membership does not establish that privileges are being issued.
- Confirm whether a valid, unencumbered home-state license can support the proposed privilege.
- Ask the receiving board which current laws and regulations apply to practice in North Carolina.
The hub’s dated statement says no states were actively issuing privileges yet. Confirm current availability rather than treating a member listing as a permission to start.
Find your state board (FSMB directory) — this directory lists medical boards; confirm which board licenses PAs.
Sources
Frequently asked questions
Can a PA practice in North Carolina on a compact privilege now?
Per the PA Compact, no states were issuing privileges yet as of August 28, 2026. Confirm with the North Carolina licensing board.
Which rules apply when practicing in North Carolina on a privilege?
PAs using a privilege must follow the laws and regulations of the state where they practice, in this case North Carolina.
How many neighbors of North Carolina are PA Compact members?
2 of the 4 bordering states are PA Compact members: Tennessee, Virginia.
Can the North Carolina wage links establish permission to practice?
No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the North Carolina board’s requirements separately.